| California Hispanic Commission On Alcohol And Drug Abuse | |
|
3514 W Beverly Blvd Montebello CA 90640-1541 | |
| (323) 721-9213 | |
| Not Available |
| Full Name | California Hispanic Commission On Alcohol And Drug Abuse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3514 W Beverly Blvd, Montebello, California |
| Authorized Official Name and Position | Nancy Fernandez (DIRECTOR OF PROGRAM SERVICES) |
| Authorized Official Contact | 9164435473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Hispanic Commission On Alcohol And Drug Abuse 3514 W Beverly Blvd Montebello CA 90640-1541 Ph: (323) 721-9213 | California Hispanic Commission On Alcohol And Drug Abuse 3514 W Beverly Blvd Montebello CA 90640-1541 Ph: (323) 721-9213 |
| NPI Number | 1588937148 |
|---|---|
| Provider Enumeration Date | 02/13/2012 |
| Last Update Date | 02/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588937148 | NPI | - | NPPES |
| 190065MN | Other | CA | DRUG MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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