Provider Demographics
NPI:1649526260
Name:ASSISTANCE LEAGUE-FAMILY SERVICE AGENCY
Entity type:Organization
Organization Name:ASSISTANCE LEAGUE-FAMILY SERVICE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLASTERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:323-469-5893
Mailing Address - Street 1:1360 N ST ANDREWS PL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-8529
Mailing Address - Country:US
Mailing Address - Phone:323-469-5893
Mailing Address - Fax:323-469-5896
Practice Address - Street 1:1360 N ST ANDREWS PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-8529
Practice Address - Country:US
Practice Address - Phone:323-469-5893
Practice Address - Fax:323-469-5896
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASSISTANCE LEAGUE OF SOUTHERN CALIFORNIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-08-01
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health