Provider Demographics
NPI:1528405289
Name:SINGLETON HOUSING PROJECT
Entity Type:Organization
Organization Name:SINGLETON HOUSING PROJECT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:323-327-8677
Mailing Address - Street 1:1897 W JEFFERSON BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90018-3434
Mailing Address - Country:US
Mailing Address - Phone:323-730-0775
Mailing Address - Fax:323-735-5387
Practice Address - Street 1:5029 S VERMONT AVE
Practice Address - Street 2:TEEN CENTER
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-2907
Practice Address - Country:US
Practice Address - Phone:323-327-8677
Practice Address - Fax:323-735-5387
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190581AN101YA0400X, 101YM0800X, 251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251K00000XAgenciesPublic Health or Welfare
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1487847018OtherMEDI-CAL