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Organization
VIP COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Organization
VIP COMMUNITY MENTAL HEALTH CENTER, INC.
Active
Other names
VIP Smidt Tech High School
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN SCHIADA (CLINICAL DIRECTOR)
(323) 221-4134
Entity
Organization
Contact information
Practice address
211 SOUTH AVE 20, LOS ANGELES, CA 90031-2508
(323) 221-4134
(323) 221-4231
Mailing address
1721 GRIFFIN AVE, LOS ANGELES, CA 90031-3312
(323) 221-4134
(323) 221-4231
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/20/2013
Last updated
01/10/2020
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