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Organization
HAMBURGER HOME
Active
Organization
HAMBURGER HOME
Active
Other names
Aviva Family and Children's Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA BETTE LMFT (CHIEF EXECUTIVE OFFICER)
(323) 876-0550
Entity
Organization
Contact information
Practice address
1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902
(323) 876-0550
(323) 876-0439
Mailing address
7120 FRANKLIN AVE, LOS ANGELES, CA 90046-3002
(323) 876-0550
(323) 436-7042
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
191800285
CA
Other
Enumeration date
03/05/2007
Last updated
06/03/2015
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