Five Acres- the Boys' and Girls' Aid Society of Los Angeles County

NPI #1518446624 in Altadena, California

Provider Information

NPI Number
1518446624
Entity Type
Organization
Organization Name
Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
Subpart
Yes (part of a larger organization)
Parent Organization
FIVE ACRES
Primary Specialty
Community/Behavioral Health
Enumeration Date
Aug 9, 2018
Last Updated
Aug 20, 2021

Practice Location

Address
760 W. MOUNTAIN VIEW ST
ZIP Code
91001-4925
Phone
(626) 798-6793

Authorized Official

Name
SHAULON SHANKLIN
Title
DIRECTOR OF CLAIMS OPERATIONS
Phone
(626) 993-3134

Specialties & Taxonomy Codes

Specialty
Local Education Agency (LEA)
Public Health or Welfare
Early Intervention Provider Agency
Community/Behavioral Health

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