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Organization
HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS
Active
Organization
HERITAGE CLINIC AND THE COMMUNITY ASSISTANCE PROGRAM FOR SENIORS
Active
Other names
Heritage Clinic & Community Assistance Programs for Seniors
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIE GARIS PSY.D. (PROGRAM DIRECTOR)
(626) 577-8480
Entity
Organization
Contact information
Practice address
3939 ATLANTIC AVE, SUITE 103, LONG BEACH, CA 90807-3536
(562) 264-6001
(562) 264-6006
Mailing address
447 N EL MOLINO AVE, PASADENA, CA 91101-1403
(626) 577-8480
(626) 577-8978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY17307
CA
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Enumeration date
02/02/2007
Last updated
02/17/2022
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