Provider Demographics
NPI:1013767060
Name:FREE FROM HARDSHIP LA INC
Entity Type:Organization
Organization Name:FREE FROM HARDSHIP LA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CELESTIAL
Authorized Official - Middle Name:LORENE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-482-9392
Mailing Address - Street 1:1500 ROSECRANS AVE STE 500
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-3771
Mailing Address - Country:US
Mailing Address - Phone:310-482-9392
Mailing Address - Fax:
Practice Address - Street 1:11850 S NORMANDIE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-1222
Practice Address - Country:US
Practice Address - Phone:310-345-0313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health