| Living Connected Mbs, Inc. | |
|
14311 Grayville Dr La Mirada CA 90638-1931 | |
| (626) 360-0828 | |
| Not Available |
| Full Name | Living Connected Mbs, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 14311 Grayville Dr, La Mirada, California |
| Authorized Official Name and Position | Tina Rose Houston-armstrong (CEO) |
| Authorized Official Contact | 6263600828 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Connected Mbs, Inc. 14901 Adelfa Dr Unit 1675 La Mirada CA 90638-4749 Ph: (626) 360-0828 | Living Connected Mbs, Inc. 14311 Grayville Dr La Mirada CA 90638-1931 Ph: (626) 360-0828 |
| NPI Number | 1407571367 |
|---|---|
| Provider Enumeration Date | 10/04/2022 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407571367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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