| Develop Achieve Succeed | |
|
1225 W 190th St # 455g Gardena CA 90248-4320 | |
| (562) 965-6782 | |
| Not Available |
| Full Name | Develop Achieve Succeed |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1225 W 190th St # 455g, Gardena, California |
| Authorized Official Name and Position | Divinity Sardin (MANAGER/OWNER) |
| Authorized Official Contact | 5629656782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Develop Achieve Succeed 9835 Flower St Unit 1523 Bellflower CA 90707-7074 Ph: (562) 965-6782 | Develop Achieve Succeed 1225 W 190th St # 455g Gardena CA 90248-4320 Ph: (562) 965-6782 |
| NPI Number | 1124789268 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124789268 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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