Provider Demographics
NPI:1003027863
Name:DEVELOPMENT SPECIALTY PROJECTS, INC.
Entity Type:Organization
Organization Name:DEVELOPMENT SPECIALTY PROJECTS, INC.
Other - Org Name:HEALTH CARE DUAL DIAGNOSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-821-8023
Mailing Address - Street 1:19300 RINALDI ST
Mailing Address - Street 2:SUITE 8270
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1651
Mailing Address - Country:US
Mailing Address - Phone:888-505-7104
Mailing Address - Fax:818-812-9205
Practice Address - Street 1:3460 WILSHIRE BLVD
Practice Address - Street 2:500
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-2206
Practice Address - Country:US
Practice Address - Phone:888-505-7104
Practice Address - Fax:818-812-9205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190413DP261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7070OtherDMC PROVIDER NUMBER