Provider Demographics
NPI:1952516775
Name:SOUTHWEST CARE, INC
Entity Type:Organization
Organization Name:SOUTHWEST CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IKE
Authorized Official - Middle Name:REUBEN
Authorized Official - Last Name:CHUKWUDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-350-0499
Mailing Address - Street 1:2930 W. IMPERIAL HIGHWAY
Mailing Address - Street 2:SUITE 511
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90303
Mailing Address - Country:US
Mailing Address - Phone:323-777-0444
Mailing Address - Fax:323-777-4769
Practice Address - Street 1:2930 W IMPERIAL HWY
Practice Address - Street 2:SUITE 511
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90303-3143
Practice Address - Country:US
Practice Address - Phone:323-777-0444
Practice Address - Fax:323-777-4769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty