Provider Demographics
NPI:1801006572
Name:DEVELOPMENT SPECIALTY PROJECTS, INC
Entity Type:Organization
Organization Name:DEVELOPMENT SPECIALTY PROJECTS, INC
Other - Org Name:HEALTH CARE DUAL DIAGNOSIS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGUIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-821-8023
Mailing Address - Street 1:215 W 94TH ST
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-3701
Mailing Address - Country:US
Mailing Address - Phone:310-628-9512
Mailing Address - Fax:818-804-4047
Practice Address - Street 1:19300 RINALDI BLVD., SUITE 8270
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91327-9998
Practice Address - Country:US
Practice Address - Phone:310-628-9512
Practice Address - Fax:818-804-4047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7072OtherDMC PROVIDER NUMBER