| Dmh Sa 1 Navigation Team | |
|
2323a E. Palmdale Blvd. Palmdale CA 93550 | |
| (661) 223-3800 | |
| (661) 537-2937 |
| Full Name | Dmh Sa 1 Navigation Team |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2323a E. Palmdale Blvd., Palmdale, 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 Sa 1 Navigation Team 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Dmh Sa 1 Navigation Team 2323a E. Palmdale Blvd. Palmdale CA 93550 Ph: (661) 223-3800 |
| NPI Number | 1639566052 |
|---|---|
| Provider Enumeration Date | 04/23/2015 |
| Last Update Date | 08/23/2022 |
| Certification Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639566052 | NPI | - | NPPES |
| 7627 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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