Provider Demographics
NPI:1093011496
Name:R.I.G.H.T. PROGRAM
Entity Type:Organization
Organization Name:R.I.G.H.T. PROGRAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-751-4778
Mailing Address - Street 1:1704 W MANCHESTER AVE
Mailing Address - Street 2:SUITE # 103
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90047-3063
Mailing Address - Country:US
Mailing Address - Phone:323-751-4778
Mailing Address - Fax:323-751-5502
Practice Address - Street 1:6500 HOOPER AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90001-1264
Practice Address - Country:US
Practice Address - Phone:323-826-2500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health