Organization · NPI-2

Department Of Mental Health

Voluntary or Charitable · Los Angeles, CA

NPI number1013145242
StatusActive
Last updated in NPPESJun 25, 2009

Details

NPI
1013145242
Entity type
Organization (NPI-2)
Legal business name
Department Of Mental Health
Organization subpart
No
Enumeration date
Jun 25, 2009
Last updated
Jun 25, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251V00000X Voluntary or Charitable––Yes

Practice location

8300 S Vermont Ave Fl 1
Latonya Wood, Ph.D.
Los Angeles, CA 90044-3422

Phone 323-525-6431

Mailing address

6041 Grandview Ave
Yorba Linda, CA 92886-5301

Phone 714-914-9006 · Fax 714-921-2120

Authorized official

Latonya Wood
Director Of Training, Psychologist
3235256431

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