| Beneva Health & Behavioral Services Inc | |
|
555 N Broadway Los Angeles CA 90012-4700 | |
| (857) 261-1026 | |
| Not Available |
| Full Name | Beneva Health & Behavioral Services Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 555 N Broadway, Los Angeles, California |
| Authorized Official Name and Position | Charles Codner (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8572611026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beneva Health & Behavioral Services Inc 555 N Broadway Apt 807 Los Angeles CA 90012-4732 Ph: () - | Beneva Health & Behavioral Services Inc 555 N Broadway Los Angeles CA 90012-4700 Ph: (857) 261-1026 |
| NPI Number | 1063247740 |
|---|---|
| Provider Enumeration Date | 09/03/2024 |
| Last Update Date | 09/04/2024 |
| Certification Date | 09/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063247740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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