Immaculate Care Center Inc

NPI 1275669871 - Counselor - 101YA0400X

NPI Details
NPI 1275669871
Enumeration Date 02/26/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GODDAY E. GODDAY
Position EXECUTIVE DIRECTOR
Phone (213) 383-1124
Fax (213) 383-0261
Practice Location
3540 WILSHIRE BLVD
SUITE 818
LOS ANGELES CA, 90010-2307, US
Phone (213) 383-1124
Fax (213) 383-0261
Business Location
3540 WILSHIRE BLVD
SUITE 818
LOS ANGELES CA, 90010-2307, US
Phone (213) 383-1124
Fax (213) 383-0261
Toxanomy
Taxonomy Code 101YA0400X
License State California
License Number 190479AN
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According to our database, Immaculate Care Center Inc NPI is 1275669871, taxonomy code is 101YA0400X and license number is 190479AN, license state is located at California. Immaculate Care Center Inc physically located at 3540 Wilshire Blvd, Los Angeles CA, 90010-2307. NPI Number 1033115704 has the healthcare provider type.

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1275669871 NPI number is provided on an as is basis without warranty of any kind. 1275669871 is maintained by the National Plan & Provider Enumeration System. The contents of Immaculate Care Center Inc are for informational purposes only.