Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
NPI #1790451300 in Altadena, California
Provider Information
- NPI Number
- 1790451300
- Entity Type
- Organization
- Organization Name
- Five Acres- the Boys' and Girls' Aid Society of Los Angeles County
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 23, 2021
- Last Updated
- Sep 13, 2021
Practice Location
- Address
- 704 W. MOUNTAIN VIEW ST.
- City
- Altadena
- State
- California
- ZIP Code
- 91001-4925
- Phone
- (626) 798-6793
Authorized Official
- Name
- SHAULON SHANKLIN
- Title
- DIRECTOR OF CLAIMS OPERATION
- Phone
- (626) 993-3134
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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