| Pch Treatment | |
|
11965 Venice Blvd Suite 407 Los Angeles CA 90066-3979 | |
| (310) 566-7625 | |
| (310) 566-7629 |
| Full Name | Pch Treatment |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 11965 Venice Blvd, Los Angeles, California |
| Authorized Official Name and Position | Jeffery Ball (EXECUTIVE AND CLINICAL DIRECTOR) |
| Authorized Official Contact | 3105718040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pch Treatment 11965 Venice Blvd Suite 407 Los Angeles CA 90066-3979 Ph: (310) 566-7625 | Pch Treatment 11965 Venice Blvd Suite 407 Los Angeles CA 90066-3979 Ph: (310) 566-7625 |
| NPI Number | 1003135906 |
|---|---|
| Provider Enumeration Date | 05/18/2010 |
| Last Update Date | 05/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003135906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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