Provider Demographics
NPI:1356533632
Name:CHEMARKE, INC.
Entity type:Organization
Organization Name:CHEMARKE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:OKELE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:323-777-9339
Mailing Address - Street 1:1159 W EL SEGUNDO BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-1603
Mailing Address - Country:US
Mailing Address - Phone:323-777-9339
Mailing Address - Fax:
Practice Address - Street 1:1159 W. EL SEGUNDO BLVD.
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:92407-1603
Practice Address - Country:US
Practice Address - Phone:323-777-9339
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-10
Last Update Date:2007-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NONE YET251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health