Lifted Foundation LLC
NPI #1710398250 in Northridge, California
Provider Information
- NPI Number
- 1710398250
- Entity Type
- Organization
- Organization Name
- Lifted Foundation LLC
- Primary Specialty
- Case Management
- Enumeration Date
- May 19, 2014
- Last Updated
- Nov 5, 2014
Practice Location
- Address
- 8363 RESEDA BLVD
- Address 2
- SUITE 203 E
- City
- Northridge
- State
- California
- ZIP Code
- 91324-4623
- Phone
- (818) 727-7742
Authorized Official
- Name
- MS. TANYATTA CHATEAU, LCSW
- Title
- CLINICAL SOCIAL WORKER/ MANAGER
- Phone
- (818) 606-9836
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Case Management |
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