| |
7054 Vanscoy Ave North Hollywood CA 91605-5357 | |
(818) 765-5900 | |
(818) 759-6072 |
Full Name | |
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Speciality | Counselor - Mental Health |
Location | 7054 Vanscoy Ave, North Hollywood, California |
Authorized Official Name and Position | Rufus Prince Childs (DIRECTOR/CEO) |
Authorized Official Contact | 8187655900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7054 Vanscoy Ave North Hollywood CA 91605-5357 Ph: (818) 765-5900 | 7054 Vanscoy Ave North Hollywood CA 91605-5357 Ph: (818) 765-5900 |
NPI Number | 1346543964 |
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Provider Enumeration Date | 12/21/2010 |
Last Update Date | 01/07/2011 |
Identifier | Type | State | Issuer |
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1346543964 | NPI | - | NPPES |
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