| Advanced Pediatric Behavioral Health Llc | |
|
10442 Yolanda Ave Porter Ranch CA 91326-3440 | |
| (818) 606-3754 | |
| Not Available |
| Full Name | Advanced Pediatric Behavioral Health Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10442 Yolanda Ave, Porter Ranch, California |
| Authorized Official Name and Position | Angela Marie Russo (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8186469229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Pediatric Behavioral Health Llc 10442 Yolanda Ave Porter Ranch CA 91326-3440 Ph: (818) 646-9229 | Advanced Pediatric Behavioral Health Llc 10442 Yolanda Ave Porter Ranch CA 91326-3440 Ph: (818) 606-3754 |
| NPI Number | 1831748581 |
|---|---|
| Provider Enumeration Date | 09/05/2019 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831748581 | NPI | - | NPPES |
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