| Chcada/enhanced Specialized Foster Care Mental Hlth Services | |
|
9033 Washington Blvd Pico Rivera CA 90660-3839 | |
| (562) 942-9625 | |
| (562) 942-9695 |
| Full Name | Chcada/enhanced Specialized Foster Care Mental Hlth Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9033 Washington Blvd, Pico Rivera, California |
| Authorized Official Name and Position | James Hernandez (PROJECT DIRECTOR) |
| Authorized Official Contact | 9164435473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chcada/enhanced Specialized Foster Care Mental Hlth Services 1419 21 Street Sacramento CA 95811 Ph: (916) 443-5473 | Chcada/enhanced Specialized Foster Care Mental Hlth Services 9033 Washington Blvd Pico Rivera CA 90660-3839 Ph: (562) 942-9625 |
| NPI Number | 1588860910 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 12/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588860910 | NPI | - | NPPES |
| 7638 | Other | CA | MEDI-CAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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