# TOTAL FAMILY SUPPORT CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306063136
- **Authorized official:** MRS. MARINA VERKHOVSKY MS (DIRECTOR OF HR)
- **Authorized official phone:** (213) 213-0581

## Contact information

- **Practice address:** 13788 FOOTHILL BLVD, SUITE 6-9, SYLMAR, CA 91342-3375
- **Practice address phone:** (818) 833-9789
- **Practice address fax:** (818) 833-9790
- **Mailing address:** 830 S OLIVE ST, LOS ANGELES, CA 90014-3006
- **Mailing address phone:** (213) 213-0581
- **Mailing address fax:** (213) 213-0580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 06/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 19-6834 | — | CA |