| Deuce Community, Inc. | |
|
110 Lincoln Blvd Venice CA 90291-2808 | |
| (206) 550-9625 | |
| Not Available |
| Full Name | Deuce Community, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 110 Lincoln Blvd, Venice, California |
| Authorized Official Name and Position | Cianna Miller (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 2065509625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deuce Community, Inc. 110 Lincoln Blvd Venice CA 90291-2808 Ph: () - | Deuce Community, Inc. 110 Lincoln Blvd Venice CA 90291-2808 Ph: (206) 550-9625 |
| NPI Number | 1477446920 |
|---|---|
| Provider Enumeration Date | 06/02/2025 |
| Last Update Date | 06/02/2025 |
| Certification Date | 06/02/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477446920 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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