Provider Demographics
NPI:1902653678
Name:FRIENDLY HAND FOUNDATION
Entity type:Organization
Organization Name:FRIENDLY HAND FOUNDATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HALUPOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-389-9946
Mailing Address - Street 1:347 S NORMANDIE AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-3167
Mailing Address - Country:US
Mailing Address - Phone:213-389-9964
Mailing Address - Fax:213-389-8812
Practice Address - Street 1:5555 INGLEWOOD BLVD STE 204
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6250
Practice Address - Country:US
Practice Address - Phone:213-389-9964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRIENDLY HAND FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-01
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder