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6229 Morse Ave North Hollywood CA 91606-2919 | |
| (818) 769-6921 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6229 Morse Ave, North Hollywood, California |
| Authorized Official Name and Position | Chester Litvin (PRESIDENT) |
| Authorized Official Contact | 8187696921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6229 Morse Ave North Hollywood CA 91606-2919 Ph: (818) 769-6921 | 6229 Morse Ave North Hollywood CA 91606-2919 Ph: (818) 769-6921 |
| NPI Number | 1154735801 |
|---|---|
| Provider Enumeration Date | 06/19/2014 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154735801 | NPI | - | NPPES |
| PSY150250 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PSY15025 (California) | Primary |
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