| NPI | 1306977459 |
|---|---|
| Other Name | CLOVERFIELD MENTAL HEALTH SERVICES |
| Entity Type | Organization |
| Authorized Contact | ANGELINE LOCH Chief Compliance Officer 323-334-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-12-18 |