Enki Youth & Family Services-covina | |
535 S 2nd Ave Covina CA 91723-3013 | |
(626) 974-0770 | |
(626) 974-0774 |
Full Name | Enki Youth & Family Services-covina |
---|---|
Speciality | Community/behavioral Health |
Location | 535 S 2nd Ave, Covina, California |
Authorized Official Name and Position | Carl W. Urmer (EXECUTIVE VICE PRESIDENT-COO) |
Authorized Official Contact | 8189734899 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Enki Youth & Family Services-covina 150 E Olive Ave #203 Burbank CA 91502-1846 Ph: (818) 973-4899 | Enki Youth & Family Services-covina 535 S 2nd Ave Covina CA 91723-3013 Ph: (626) 974-0770 |
NPI Number | 1447381991 |
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Provider Enumeration Date | 03/08/2007 |
Last Update Date | 08/07/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447381991 | NPI | - | NPPES |
000007258 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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