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Organization
QUEENSCARE FAMILY CLINICS
Active
Organization
QUEENSCARE FAMILY CLINICS
Active
Other names
QueensCare Family Clinics - Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY ALLEN BONECUTTER (PRESIDENT AND CEO)
(323) 669-4303
Entity
Organization
Contact information
Practice address
1300 N VERMONT AVE, SUITE 809, LOS ANGELES, CA 90027-6005
(323) 669-4355
Mailing address
1300 N VERMONT AVE, SUITE 809, LOS ANGELES, CA 90027-6005
(323) 669-4355
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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