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Organization
USCTH
Active
Organization
USCTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE A EATON (STUDENT IN AN ORGANIZED HEALTH CARE)
(505) 471-4752
Entity
Organization
Contact information
Practice address
1150 S OLIVE ST STE T-320, LOS ANGELES, CA 90015-2211
(213) 821-5930
Mailing address
1150 S OLIVE ST STE T-320, LOS ANGELES, CA 90015-2211
(213) 821-5930
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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