Provider Demographics
NPI:1659585834
Name:AIDS SERVICE CENTER
Entity Type:Organization
Organization Name:AIDS SERVICE CENTER
Other - Org Name:ALL SAINTS SERVICE CENTER
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXCECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:BENSON
Authorized Official - Suffix:
Authorized Official - Credentials:BA, MSW
Authorized Official - Phone:626-441-8495
Mailing Address - Street 1:909 S FAIR OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-2625
Mailing Address - Country:US
Mailing Address - Phone:626-441-8495
Mailing Address - Fax:626-799-6253
Practice Address - Street 1:909 S FAIR OAKS AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-2625
Practice Address - Country:US
Practice Address - Phone:626-441-8495
Practice Address - Fax:626-799-6253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management