| Verdugo Mental Health | |
|
1540 E Colorado St Glendale CA 91205-1514 | |
| (818) 244-7257 | |
| (818) 243-5431 |
| Full Name | Verdugo Mental Health |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1540 E Colorado St, Glendale, California |
| Authorized Official Name and Position | J Buckley (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 8182447257 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Verdugo Mental Health 540 S Marengo Ave Pasadena CA 91101-3130 Ph: (626) 397-4910 | Verdugo Mental Health 1540 E Colorado St Glendale CA 91205-1514 Ph: (818) 244-7257 |
| NPI Number | 1770658460 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770658460 | NPI | - | NPPES |
| WA48388H | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | A037154 (California) | Primary |
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