Provider Demographics
NPI:1932310869
Name:THE DISICIPLES IN TRAINING INC
Entity Type:Organization
Organization Name:THE DISICIPLES IN TRAINING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO EXECUTIVE
Authorized Official - Prefix:MS
Authorized Official - First Name:NYREE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-637-5400
Mailing Address - Street 1:PO BOX 5367
Mailing Address - Street 2:
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90224-5367
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1618 E ALONDRA BLVD
Practice Address - Street 2:
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221-4408
Practice Address - Country:US
Practice Address - Phone:310-637-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health