| 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 |
| 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 |