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12440 Firestone Blvd Ste 310 Norwalk CA 90650-4397 | |
| (562) 280-7176 | |
| (562) 262-0735 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 12440 Firestone Blvd Ste 310, Norwalk, California |
| Authorized Official Name and Position | Hasmik Jasmine Avetisyan (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8184699099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
12440 Firestone Blvd Ste 310 Norwalk CA 90650-4397 Ph: (562) 280-7176 | 12440 Firestone Blvd Ste 310 Norwalk CA 90650-4397 Ph: (562) 280-7176 |
| NPI Number | 1518687367 |
|---|---|
| Provider Enumeration Date | 08/31/2022 |
| Last Update Date | 05/18/2023 |
| Certification Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518687367 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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Circle Of Help Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13200 Bloomfield Ave, Norwalk, CA 90650 Phone: 323-888-9191 | |
Atlantic Recovery Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11859 Firestone Blvd, Norwalk Sea, Norwalk, CA 90650 Phone: 562-462-0090 Fax: 562-462-1079 | |
Lacada Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12425 Mapledale St, Norwalk, CA 90650 Phone: 562-818-8310 | |
Renew Integrated Program-2 Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11859 Firestone Blvd, Norwalk, CA 90650 Phone: 562-426-3300 Fax: 562-637-3244 |