Grape Street Community Restoration Inc.
LBN: Grape Street Community Restoration Inc.
Grape Street Community Restoration Inc. is an health care organization with primary practice located at 10139 Beach St Apt 26A-3 , Los Angeles CA 90002-2978. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Mental Health is the primary health care specialty.
Grape Street Community Restoration Inc. can be contacted via phone (323) 801-6071, or through Randolph, Sebastian Dee via phone (602) 736-7383.
Contact Information
Primary practice address
10139 Beach St Apt 26A-3
Los Angeles CA 90002-2978
Phone: (323) 801-6071
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1619742244 |
---|---|
LBN Legal business name | Grape Street Community Restoration Inc. |
DBA Doing business as | |
Authorized official | Randolph, Sebastian Dee STUDENT COUNSELOR |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 27th, 2023 |
Last updated | Nov 27th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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