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5445 Laurel Canyon Blvd North Hollywood CA 91607-4661 | |
| (818) 761-2227 | |
| (818) 759-2959 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5445 Laurel Canyon Blvd, North Hollywood, California |
| Authorized Official Name and Position | Sherry Winston Brill (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8187612227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5445 Laurel Canyon Blvd North Hollywood CA 91607-4661 Ph: (818) 761-2227 | 5445 Laurel Canyon Blvd North Hollywood CA 91607-4661 Ph: (818) 761-2227 |
| NPI Number | 1831214410 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831214410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC38804 (California) | Primary |
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