NPI | 1821112764 |
---|---|
Other Name | LOS ANGELES CHILD GUIDANCE CLINIC |
Entity Type | Organization |
Authorized Contact | LISA HIRSCH MARIN Chief Operating Officer 323-373-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 251B00000X Case Management |
252Y00000X Early Intervention Provider Agency | |
261QM0855X Clinic/Center Adolescent and Children Mental Health | |
Enumeration Date | 2007-03-17 |
Last Update Date | 2020-04-06 |