| Gay And Lesbian Adolescent Social Services, Inc | |
|
1672 W Avenue J Suite 203 Lancaster CA 93534-2827 | |
| (818) 239-0112 | |
| (818) 239-0244 |
| Full Name | Gay And Lesbian Adolescent Social Services, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1672 W Avenue J, Lancaster, California |
| Authorized Official Name and Position | Teresa Decrescenzo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8182390112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gay And Lesbian Adolescent Social Services, Inc 1033 N Hollywood Way Unit F Burbank CA 91505-2540 Ph: (818) 239-0112 | Gay And Lesbian Adolescent Social Services, Inc 1672 W Avenue J Suite 203 Lancaster CA 93534-2827 Ph: (818) 239-0112 |
| NPI Number | 1235381799 |
|---|---|
| Provider Enumeration Date | 10/15/2008 |
| Last Update Date | 10/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235381799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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