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Deliann-lucile Corporation
Emotionally Disturbed Childrens' Residential Treatment Facility in Los Angeles, California
NPI 1982147922

Deliann-lucile Corporation is a Emotionally Disturbed Childrens' Residential Treatment Facility based in Culver City, CA. Deliann-lucile Corporation practices in Los Angeles, CA. The NPI Number for Deliann-lucile Corporation is 1982147922 and holds a License No. (California).

The current practice location address for Deliann-lucile Corporation is 2122 W 107Th St, Los Angeles, CA and can be reached out via phone at 323-696-9749 and via fax at 323-696-9508.

Location: 2122 W 107Th St, Los Angeles, CA, 90230-6982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982147922
Provider Name
Deliann-lucile Corporation
Credential
Provider Entity Type
Organization
Address
2122 W 107Th St, Los Angeles, CA, 90230-6982
Phone Number
323-696-9749
Fax Number
323-696-9508
Provider Enumeration Date
11/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2122 W 107Th St
City
Los Angeles
State
California
Zip
90047-4305
Phone Number
323-696-9749
Fax Number
323-696-9508
person
Provider Business Mailing Address Details
Address
2122 W 107Th St
City
Los Angeles
State
California
Zip
90047-4305
Phone Number
323-696-9749
Fax Number
323-696-9508
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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