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Deliann-lucile
Emotionally Disturbed Childrens' Residential Treatment Facility in Culver City, California
NPI 1730623547

Deliann-lucile is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Culver City, CA. Deliann-lucile practices in Culver City, CA. The NPI Number for Deliann-lucile is 1730623547 and holds a License No. (California).

The current practice location address for Deliann-lucile is 5800 Hannum Ave Ste A230, Culver City, CA and can be reached out via phone at 310-215-8900 and via fax at 310-215-8907.

Location: 5800 Hannum Ave Ste A230, Culver City, CA, 90230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730623547
Provider Name
Deliann-lucile
Credential
Provider Entity Type
Organization
Address
5800 Hannum Ave Ste A230, Culver City, CA, 90230
Phone Number
310-215-8900
Fax Number
310-215-8907
Provider Enumeration Date
12/13/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5800 Hannum Ave Ste A230
City
Culver City
State
California
Zip
90230-6560
Phone Number
310-215-8900
Fax Number
310-215-8907
person
Provider Business Mailing Address Details
Address
5800 Hannum Ave Ste A230
City
Culver City
State
California
Zip
90230-6560
Phone Number
310-215-8900
Fax Number
310-215-8907
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Emotionally Disturbed Children
Speciality
-
Taxonomy
322D00000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
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