| Vista Del Mar Wraparound Sa8 | |
|
11222 S La Cienega Blvd Suite 115 Inglewood CA 90304-1109 | |
| (310) 836-1223 | |
| (310) 838-6028 |
| Full Name | Vista Del Mar Wraparound Sa8 |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11222 S La Cienega Blvd, Inglewood, California |
| Authorized Official Name and Position | Cheryl Carrington (DIRECTOR QUALITY, STANDARDS AND COM) |
| Authorized Official Contact | 3108361223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Del Mar Wraparound Sa8 11222 S La Cienega Blvd Suite 115 Inglewood CA 90304-1109 Ph: (310) 836-1223 | Vista Del Mar Wraparound Sa8 11222 S La Cienega Blvd Suite 115 Inglewood CA 90304-1109 Ph: (310) 836-1223 |
| NPI Number | 1477746824 |
|---|---|
| Provider Enumeration Date | 08/20/2007 |
| Last Update Date | 06/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477746824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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