| Burbank Mental Health Evaluation Team | |
|
200 N 3rd St Rm P143 3rd Floor Burbank CA 91502-1201 | |
| (818) 238-3391 | |
| (818) 238-3269 |
| Full Name | Burbank Mental Health Evaluation Team |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 200 N 3rd St Rm P143, Burbank, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burbank Mental Health Evaluation Team 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Burbank Mental Health Evaluation Team 200 N 3rd St Rm P143 3rd Floor Burbank CA 91502-1201 Ph: (818) 238-3391 |
| NPI Number | 1639596497 |
|---|---|
| Provider Enumeration Date | 03/18/2014 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639596497 | NPI | - | NPPES |
| 7877 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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