Organization · NPI-2
Alafia Mental Health Institute
Community/Behavioral Health · Gardena, CA
NPI number1457674723
StatusActive
Last updated in NPPESMar 1, 2010
Details
- NPI
- 1457674723
- Entity type
- Organization (NPI-2)
- Legal business name
- Alafia Mental Health Institute
- Organization subpart
- No
- Enumeration date
- Mar 1, 2010
- Last updated
- Mar 1, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 61092IMFT | CA | Yes |
Practice location
522 W Redondo Beach BlvdSuite 204
Gardena, CA 90248
Phone 310-352-6422
Mailing address
522 W Redondo Beach BoulevardSuite 204
Gardena, CA 90248
Authorized official
Jerzy Monkiewickz
Licensed Psychologist
3103526422
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