St. Joseph Center

NPI #1639434426 in Venice, California

Provider Information

NPI Number: 1639434426
Entity Type: Organization
Organization Name: St. Joseph Center
Primary Specialty: Case Management
Enumeration Date: Jul 9, 2012
Last Updated: Feb 3, 2015

Practice Location

Address: 204 HAMPTON DR
City: Venice
State: California
ZIP Code: 90291-2623
Phone: (310) 396-6468

Authorized Official

Name: VA LECIA ADAMS KELLUM, PH.D.
Title: EXECUTIVE DIRECTOR
Phone: (310) 396-6468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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