| Drew Child Development Corporation | |
|
1770 E. 118th Street Los Angeles CA 90059-2518 | |
| (323) 249-2950 | |
| (323) 249-2970 |
| Full Name | Drew Child Development Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1770 E. 118th Street, Los Angeles, California |
| Authorized Official Name and Position | Michelle Yvonne Urizar (DIRECTOR OF MENTAL HEALTH & CHILD W) |
| Authorized Official Contact | 3232492950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drew Child Development Corporation 1770 E. 118th Street Los Angeles CA 90059-2518 Ph: (323) 249-2950 | Drew Child Development Corporation 1770 E. 118th Street Los Angeles CA 90059-2518 Ph: (323) 249-2950 |
| NPI Number | 1194926022 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 01/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194926022 | NPI | - | NPPES |
| 01245407 | Other | CA | MEDI-CAL PROVIDER ID # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 191593453 (California) | Secondary |
| 251S00000X | Community/behavioral Health | 1245407 (California) | Primary |
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