| San Fernando Valley Community Mental Health Center - Fsp | |
|
14658 Oxnard St Van Nuys CA 91411-3119 | |
| (818) 785-0103 | |
| (818) 785-0145 |
| Full Name | San Fernando Valley Community Mental Health Center - Fsp |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14658 Oxnard St, Van Nuys, California |
| Authorized Official Name and Position | Jenna Balsavage (FSP PROGRAM MANAGER) |
| Authorized Official Contact | 8187850103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Fernando Valley Community Mental Health Center - Fsp 14658 Oxnard St Van Nuys CA 91411-3119 Ph: (818) 785-0103 | San Fernando Valley Community Mental Health Center - Fsp 14658 Oxnard St Van Nuys CA 91411-3119 Ph: (818) 785-0103 |
| NPI Number | 1780838235 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780838235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCS 23834 (California) | Primary |
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