| Enki-commerce Youth & Family Services | |
|
1000 Goodrich Blvd Commerce CA 90022-5103 | |
| (323) 832-9795 | |
| (323) 721-1025 |
| Full Name | Enki-commerce Youth & Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1000 Goodrich Blvd, Commerce, California |
| Authorized Official Name and Position | Darren Takemoto (CFO) |
| Authorized Official Contact | 8189734899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enki-commerce Youth & Family Services 150 E Olive Ave #203 Burbank CA 91502-1846 Ph: (818) 973-4899 | Enki-commerce Youth & Family Services 1000 Goodrich Blvd Commerce CA 90022-5103 Ph: (323) 832-9795 |
| NPI Number | 1366574188 |
|---|---|
| Provider Enumeration Date | 03/09/2007 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366574188 | NPI | - | NPPES |
| 000007360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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