| Circle Of Friends Outpatient Services Inc. | |
|
715 N Ridgewood Pl Los Angeles CA 90038-3105 | |
| (323) 465-5888 | |
| Not Available |
| Full Name | Circle Of Friends Outpatient Services Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 715 N Ridgewood Pl, Los Angeles, California |
| Authorized Official Name and Position | Steven Proshak (CEO) |
| Authorized Official Contact | 3234655888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle Of Friends Outpatient Services Inc. 715 N Ridgewood Pl Los Angeles CA 90038-3105 Ph: (323) 465-5888 | Circle Of Friends Outpatient Services Inc. 715 N Ridgewood Pl Los Angeles CA 90038-3105 Ph: (323) 465-5888 |
| NPI Number | 1124140637 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 08/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124140637 | NPI | - | NPPES |
| 02937706 | Other | CA | TREATMENT FACILITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 190272AP (California) | Primary |
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