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230 N Maryland Suite 303 Glendale CA 91206 | |
| (626) 577-9728 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 230 N Maryland, Glendale, California |
| Authorized Official Name and Position | Dennis Dennis Brotman (CEO) |
| Authorized Official Contact | 6265779728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 80158 San Marino CA 91118-8158 Ph: (626) 577-9728 | 230 N Maryland Suite 303 Glendale CA 91206 Ph: (626) 577-9728 |
| NPI Number | 1427208859 |
|---|---|
| Provider Enumeration Date | 09/23/2008 |
| Last Update Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427208859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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