| Child Therapy Center Of Los Angeles Inc. | |
|
1150 Yale St Ste 3 Santa Monica CA 90403-4774 | |
| (424) 268-2762 | |
| Not Available |
| Full Name | Child Therapy Center Of Los Angeles Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1150 Yale St Ste 3, Santa Monica, California |
| Authorized Official Name and Position | Kendra Delahooke (OWNER/CEO) |
| Authorized Official Contact | 6263539423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Therapy Center Of Los Angeles Inc. 1680 Lorain Rd San Marino CA 91108-2543 Ph: () - | Child Therapy Center Of Los Angeles Inc. 1150 Yale St Ste 3 Santa Monica CA 90403-4774 Ph: (424) 268-2762 |
| NPI Number | 1548972557 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 12/21/2022 |
| Certification Date | 12/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548972557 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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