Youth Contact Birm Hs | |
17000 Haynes St Van Nuys CA 91406-5420 | |
(818) 908-4990 | |
Not Available |
Full Name | Youth Contact Birm Hs |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 17000 Haynes St, Van Nuys, California |
Authorized Official Name and Position | Timothy Ryder (PRESIDENT) |
Authorized Official Contact | 8189014830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Youth Contact Birm Hs 16360 Roscoe Blvd Ste 200 Van Nuys CA 91406-1213 Ph: (818) 901-4830 | Youth Contact Birm Hs 17000 Haynes St Van Nuys CA 91406-5420 Ph: (818) 908-4990 |
NPI Number | 1518592583 |
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Provider Enumeration Date | 03/10/2020 |
Last Update Date | 03/16/2020 |
Certification Date | 03/16/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518592583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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