Provider Demographics
NPI:1457560138
Name:EMOTIONAL HEALTH ASSOCIATION SHARE
Entity Type:Organization
Organization Name:EMOTIONAL HEALTH ASSOCIATION SHARE
Other - Org Name:SHARE THE SELF- HELP AND RECOVERY EXCHANGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ULF
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:310-846-5270
Mailing Address - Street 1:6666 GREEN VALLEY CIR
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-7068
Mailing Address - Country:US
Mailing Address - Phone:310-846-5270
Mailing Address - Fax:310-846-5278
Practice Address - Street 1:6666 GREEN VALLEY CIR
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-7068
Practice Address - Country:US
Practice Address - Phone:310-846-5270
Practice Address - Fax:310-846-5278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA01311OtherLEGAL ENTITY NUMBER
CA7596OtherLA COUNTY PROVIDER NUMBER