| Dmh Dhs Collaboration Mid Valley | |
|
7515 Van Nuys Blvd #461, 462 & 5th Floor Van Nuys CA 91405-1949 | |
| (213) 494-8560 | |
| (213) 639-6773 |
| Full Name | Dmh Dhs Collaboration Mid Valley |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7515 Van Nuys Blvd, Van Nuys, 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 Mid Valley 550 S Vermont Ave Los Angeles CA 90020-1912 Ph: (213) 738-4601 | Dmh Dhs Collaboration Mid Valley 7515 Van Nuys Blvd #461, 462 & 5th Floor Van Nuys CA 91405-1949 Ph: (213) 494-8560 |
| NPI Number | 1558638270 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558638270 | NPI | - | NPPES |
| 7818 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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