Provider Demographics
NPI:1346402831
Name:WB COMMUNITY LEARNING CENTER INC
Entity Type:Organization
Organization Name:WB COMMUNITY LEARNING CENTER INC
Other - Org Name:WB COMMUNITY LEARNING CENTER INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LEBLANC
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:323-778-7254
Mailing Address - Street 1:8443 CRENSHAW BLVD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90305-1900
Mailing Address - Country:US
Mailing Address - Phone:323-778-7254
Mailing Address - Fax:323-777-1025
Practice Address - Street 1:8443 CRENSHAW BLVD
Practice Address - Street 2:SUITE 103
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90305-1900
Practice Address - Country:US
Practice Address - Phone:323-778-7254
Practice Address - Fax:323-777-1025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-26
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health