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Organization

COLMMUNITY BEHAVIORAL HEALTH RESEARCH FOUNDATION

Active
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Organization

COLMMUNITY BEHAVIORAL HEALTH RESEARCH FOUNDATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MOHAMMAD REZA EMAMI M.S. (CHIEF EXECUTIVE OFFICER)
(310) 567-9389
Entity
Organization

Contact information

Practice address
2432 CAROLYN DR, PALMDALE, CA 93551-5444
(310) 567-9389
Mailing address
2432 CAROLYN DR, PALMDALE, CA 93551-5444

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—

Other

Enumeration date
07/02/2012
Last updated
07/02/2012
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