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Organization
MISSION BEHAVIORAL HEALTH, INC.
Active
Organization
MISSION BEHAVIORAL HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WILLIAMS (CFO)
(614) 420-5957
Entity
Organization
Contact information
Practice address
7672 AVALON BLVD, LOS ANGELES, CA 90003-2346
(614) 420-5957
Mailing address
510 S GRAND AVE STE 200, GLENDORA, CA 91741-4291
(614) 420-5957
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0802X
Addiction Psychiatry Physician
—
—
Other
Enumeration date
04/24/2023
Last updated
01/05/2024
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