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Organization
DEPARTMENT MENTAL HEALTH
Active
Organization
DEPARTMENT MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE M. MANUEL (SR. COMMUNITY WORKER I)
(323) 241-6844
Entity
Organization
Contact information
Practice address
2311 W EL SEGUNDO BLVD, HAWTHORNE, CA 90250-3315
(323) 241-6844
(323) 756-1163
Mailing address
11530 S NORMANDIE AVE, #11, LOS ANGELES, CA 90044-1250
(323) 241-6844
(323) 756-1163
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
08/22/2020
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