NPI 1013556471

Solta Development LLC

Organisation Mental Illness Community Based Residential Treatment Facility Long Beach, CA

Practice location

Address: 4201 E 10th St, Long Beach, CA 90804-5508
Phone: (818) 846-4469
Mailing address: 3013 Annita Dr, Glendale, CA 91206-1302

Authorised official

Name: Teodulo Bonzon
Title: Administrator
Phone: (818) 846-4469

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in California →

Registry record

NPI: 1013556471
Entity type: Organization
NPI issued: 3 Jan 2020
Record last updated: 3 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.