| Eye4peace Community Services Corporation | |
|
11311 Hawthorne Blvd Unit 1 Inglewood CA 90304-2775 | |
| (310) 484-4177 | |
| Not Available |
| Full Name | Eye4peace Community Services Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11311 Hawthorne Blvd Unit 1, Inglewood, California |
| Authorized Official Name and Position | Tracy Nibo (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3104844177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eye4peace Community Services Corporation 11311 Hawthorne Blvd Unit 1 Inglewood CA 90304-2775 Ph: (310) 484-4177 | Eye4peace Community Services Corporation 11311 Hawthorne Blvd Unit 1 Inglewood CA 90304-2775 Ph: (310) 484-4177 |
| NPI Number | 1255025862 |
|---|---|
| Provider Enumeration Date | 06/06/2023 |
| Last Update Date | 06/06/2023 |
| Certification Date | 06/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255025862 | NPI | - | NPPES |
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