Provider Demographics
NPI:1417037540
Name:SOUTHERN CALIFORNIA ALCOHOL AND DRUG PROGRAMS, INC.
Entity Type:Organization
Organization Name:SOUTHERN CALIFORNIA ALCOHOL AND DRUG PROGRAMS, INC.
Other - Org Name:LA CASITA DE LAS MAMAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LARA
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:213-529-0963
Mailing Address - Street 1:11500 PARAMOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-4530
Mailing Address - Country:US
Mailing Address - Phone:562-923-4545
Mailing Address - Fax:562-862-0918
Practice Address - Street 1:10603 DOWNEY AVE
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3426
Practice Address - Country:US
Practice Address - Phone:562-622-2268
Practice Address - Fax:562-861-6517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190011RN3245S0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children