Provider Demographics
NPI:1952954158
Name:THE DANGERFIELD INSTITUTE OF URBAN PROBLEMS
Entity Type:Organization
Organization Name:THE DANGERFIELD INSTITUTE OF URBAN PROBLEMS
Other - Org Name:DANGERFIELD HOME #3
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:LORRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:IRVINF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-290-5058
Mailing Address - Street 1:3870 CRENSHAW BLVD STE 212
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008-1815
Mailing Address - Country:US
Mailing Address - Phone:323-290-5058
Mailing Address - Fax:
Practice Address - Street 1:1762 W 42ND ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90062-1526
Practice Address - Country:US
Practice Address - Phone:323-290-5058
Practice Address - Fax:323-299-7160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-17
Last Update Date:2020-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness