NPI 1285084509

Heritage Board & Care #4

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

Practice location

Address: 1509 E 4th St, Long Beach, CA 90802-1806
Phone: (562) 714-2154
Mailing address: 2330 E 15th St, Long Beach, CA 90804-1410

Authorised official

Name: Grace Trinidad
Title: Contact Person
Phone: (562) 714-2154

Registered specialties

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X Licence 198600455 (CA)

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

Registry record

NPI: 1285084509
Entity type: Organization
NPI issued: 17 Jun 2016
Record last updated: 17 Jun 2016

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.