| Eotd Crisis Homeless - San Fernando | |
|
919 1st St San Fernando CA 91340-2957 | |
| (818) 256-2206 | |
| (818) 361-3210 |
| Full Name | Eotd Crisis Homeless - San Fernando |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 919 1st St, San Fernando, 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 |
|---|---|
| Eotd Crisis Homeless - San Fernando 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Eotd Crisis Homeless - San Fernando 919 1st St San Fernando CA 91340-2957 Ph: (818) 256-2206 |
| NPI Number | 1457360463 |
|---|---|
| Provider Enumeration Date | 08/07/2006 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457360463 | NPI | - | NPPES |
| 7477 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Liliana Hernandez, Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Maclay Ave Ste 108, San Fernando, CA 91340 Phone: 818-269-1260 | |
Alejandro Soria, Licensed Marriage And Family Therapist Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Maclay Ave Ste 108, San Fernando, CA 91340 Phone: 323-251-1509 | |
Queer Healing Oasis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Maclay Ave Ste 107, San Fernando, CA 91340 Phone: 818-233-1079 Fax: 818-698-6407 | |
Therapeutic Services Healing And Growth Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 N Maclay Ave Ste 206, San Fernando, CA 91340 Phone: 818-351-6717 | |
El Centro De Amistad- San Fernando Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 566 S Brand Blvd, San Fernando, CA 91340 Phone: 818-898-0223 Fax: 818-361-5384 | |
San Fernando Child & Family Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 1st St, San Fernando, CA 91340 Phone: 818-832-2400 Fax: 818-832-2567 | |
Sycamores Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Arroyo St, San Fernando, CA 91340 Phone: 626-395-7100 Fax: 626-395-7270 |