Provider Demographics
NPI:1780860502
Name:JWCH INSTITUTE INC.
Entity Type:Organization
Organization Name:JWCH INSTITUTE INC.
Other - Org Name:SOLUTION FAMILY RESOURCE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AL
Authorized Official - Middle Name:
Authorized Official - Last Name:BALLESTEROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-484-1186
Mailing Address - Street 1:5650 JILLSON ST.
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:CA
Mailing Address - Zip Code:90040
Mailing Address - Country:US
Mailing Address - Phone:213-484-1186
Mailing Address - Fax:323-813-0207
Practice Address - Street 1:1218 E COMPTON BLVD
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-3310
Practice Address - Country:US
Practice Address - Phone:310-608-1505
Practice Address - Fax:310-608-1406
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JWCH INSTITUTE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-10
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190718BN261QR0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care