Provider Demographics
NPI:1396285078
Name:HUMANISTIC FOUNDATION INC.
Entity type:Organization
Organization Name:HUMANISTIC FOUNDATION INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUERETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-290-2540
Mailing Address - Street 1:5757 W CENTURY BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-6409
Mailing Address - Country:US
Mailing Address - Phone:323-290-2540
Mailing Address - Fax:323-290-2226
Practice Address - Street 1:5757 W CENTURY BLVD STE 303
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90045-6409
Practice Address - Country:US
Practice Address - Phone:323-290-2540
Practice Address - Fax:323-290-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-01
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA191800491253J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency