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11300 Glenoaks Blvd Pacoima CA 91331-1622 | |
(818) 588-3820 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 11300 Glenoaks Blvd, Pacoima, California |
Authorized Official Name and Position | Ericka Yvette Sagastume (PRESIDENT/CEO) |
Authorized Official Contact | 8183263017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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11300 Glenoaks Blvd Pacoima CA 91331-1622 Ph: (818) 588-3820 | 11300 Glenoaks Blvd Pacoima CA 91331-1622 Ph: (818) 588-3820 |
NPI Number | 1225469588 |
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Provider Enumeration Date | 12/11/2013 |
Last Update Date | 12/11/2013 |
Identifier | Type | State | Issuer |
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1225469588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Hathaway-sycamores Child And Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331 Phone: 818-660-7858 |