Lifecircles Group Home
NPI #1780126870 in Pacoima, California
Provider Information
- NPI Number
- 1780126870
- Entity Type
- Organization
- Organization Name
- Lifecircles Group Home
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Nov 7, 2016
- Last Updated
- Mar 15, 2017
Practice Location
- Address
- 12681 LOUVRE ST
- City
- Pacoima
- State
- California
- ZIP Code
- 91331-1239
- Phone
- (818) 256-9451
Authorized Official
- Name
- MS. MAMIE JOE NELSON
- Title
- PROGRAM DIRECTOR
- Phone
- (818) 834-2463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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