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Organization
THE VILLAGE
Active
Organization
THE VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX PARKER (RESOURCE SPECIALIST)
(323) 251-4031
Entity
Organization
Contact information
Practice address
6736 LAUREL CANYON BLVD, NORTH HOLLYWOOD, CA 91606-1538
(818) 755-8786
Mailing address
5500 OWENSMOUTH AVE APT 326, WOODLAND HILLS, CA 91367-7009
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
X
CA
Other
Enumeration date
04/03/2013
Last updated
07/21/2022
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