Provider Demographics
NPI:1952142937
Name:FEAST, INC.
Entity type:Organization
Organization Name:FEAST, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYDNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZETUNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-378-5594
Mailing Address - Street 1:3655 S GRAND AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-4372
Mailing Address - Country:US
Mailing Address - Phone:909-378-5594
Mailing Address - Fax:
Practice Address - Street 1:3655 S GRAND AVE STE 210
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90007-4372
Practice Address - Country:US
Practice Address - Phone:323-524-4133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-04
Last Update Date:2024-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health