Drew Child Development Corp | |
1411 W. 190th Street Suite 300 Gardena CA 90248-3513 | |
(310) 609-3890 | |
(310) 609-0301 |
Full Name | Drew Child Development Corp |
---|---|
Speciality | Community/behavioral Health |
Location | 1411 W. 190th Street Suite 300, Gardena, California |
Authorized Official Name and Position | Franz Jordan (DIRECTOR OF MENTAL HEALTH) |
Authorized Official Contact | 3232492950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Drew Child Development Corp 1141 W. 190th Street Suite 400 Gardena CA 90248-4326 Ph: (323) 249-2950 | Drew Child Development Corp 1411 W. 190th Street Suite 300 Gardena CA 90248-3513 Ph: (310) 609-3890 |
NPI Number | 1043489321 |
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Provider Enumeration Date | 02/21/2008 |
Last Update Date | 06/26/2023 |
Certification Date | 06/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043489321 | NPI | - | NPPES |
01245407 | Other | CA | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | 01245407 (California) | Primary |
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