# TOTAL FAMILY SUPPORT CLINIC

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

## Provider details

- **NPI number:** 1346460672
- **Authorized official:** DR. OLGA SKARLATO PHD (CEO)
- **Authorized official phone:** (818) 833-9789

## Contact information

- **Practice address:** 2511 LONG BEACH BLVD, LONG BEACH, CA 90806-3111
- **Practice address phone:** (562) 981-1501
- **Practice address fax:** (562) 981-1502
- **Mailing address:** 2511 LONG BEACH BLVD, LONG BEACH, CA 90806-3111
- **Mailing address phone:** (562) 981-1501
- **Mailing address fax:** (562) 981-1502

## Taxonomy

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

## Other

- **Enumeration date:** 04/27/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 19-6834 | — | CA |
| 05 | — | 19-7134 | — | CA |
