| Specialized Foster Care Chatsworth | |
|
20151 Nordhoff St Chatsworth CA 91311-6215 | |
| (818) 717-4644 | |
| (818) 773-8672 |
| Full Name | Specialized Foster Care Chatsworth |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 20151 Nordhoff St, Chatsworth, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialized Foster Care Chatsworth 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Specialized Foster Care Chatsworth 20151 Nordhoff St Chatsworth CA 91311-6215 Ph: (818) 717-4644 |
| NPI Number | 1730328097 |
|---|---|
| Provider Enumeration Date | 02/10/2009 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730328097 | NPI | - | NPPES |
| 7754 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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