Dmh Dhs Collaboration Curtis Tucker Hc | |
123 W Manchester Blvd Inglewood CA 90301-1753 | |
(213) 639-6306 | |
(213) 639-6773 |
Full Name | Dmh Dhs Collaboration Curtis Tucker Hc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 123 W Manchester Blvd, Inglewood, California |
Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
Authorized Official Contact | 2137384601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dmh Dhs Collaboration Curtis Tucker Hc 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Dmh Dhs Collaboration Curtis Tucker Hc 123 W Manchester Blvd Inglewood CA 90301-1753 Ph: (213) 639-6306 |
NPI Number | 1023598158 |
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Provider Enumeration Date | 08/17/2018 |
Last Update Date | 09/09/2022 |
Certification Date | 09/09/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023598158 | NPI | - | NPPES |
19AH | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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