| Lat Mental Health Management Inc. | |
|
11936 Jefferson Blvd Ste B Culver City CA 90230-6333 | |
| (310) 572-7000 | |
| Not Available |
| Full Name | Lat Mental Health Management Inc. |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 11936 Jefferson Blvd Ste B, Culver City, California |
| Authorized Official Name and Position | Andy Piskoulian (PRESIDENT) |
| Authorized Official Contact | 3105528646 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lat Mental Health Management Inc. 11936 Jefferson Blvd Suite B Culver City CA 90230-6333 Ph: () - | Lat Mental Health Management Inc. 11936 Jefferson Blvd Ste B Culver City CA 90230-6333 Ph: (310) 572-7000 |
| NPI Number | 1275973810 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 06/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275973810 | NPI | - | NPPES |
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