JACK GAINES A PROFESSIONAL CORP.

ENCINO, CA
NPI1619210291
Entity TypeOrganization
Authorized ContactJACK W. GAINES
President
818-981-4030
Organization Subpart ?No
Primary Taxonomy261QM0850X Clinic/Center, Adult Mental Health
(Licence: CA  c14269)
Enumeration Date2013-04-01
Last Update Date2013-04-01
Business Address
JACK GAINES A PROFESSIONAL CORP.
4833 RUBIO AVE
ENCINO, CA 91436-1118
Phone number: 818-981-4030
Mailing Address
JACK GAINES A PROFESSIONAL CORP.
4833 RUBIO AVE
ENCINO, CA 91436-1118
Phone number: