Provider Demographics
NPI:1609018696
Name:BERNIE'S LIL WOMEN CENTER INC
Entity Type:Organization
Organization Name:BERNIE'S LIL WOMEN CENTER INC
Other - Org Name:COMMUNITY DAY ALTERNATIVE HIGH SCHOOL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BERNADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOUDEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-280-1012
Mailing Address - Street 1:942 E 116TH ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90059-1602
Mailing Address - Country:US
Mailing Address - Phone:213-280-1012
Mailing Address - Fax:323-249-8367
Practice Address - Street 1:12501 S WILMINGTON AVE
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90222-1220
Practice Address - Country:US
Practice Address - Phone:213-280-1012
Practice Address - Fax:323-249-8367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-06
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder