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Organization
MANATEE CARE
Active
Organization
MANATEE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERCEDES FERNANDEZ OROMENDIA PHD (CHIEF CLINICAL OFFICER)
(818) 860-2864
Entity
Organization
Contact information
Practice address
161 W ALTADENA DR UNIT 564, ALTADENA, CA 91001-4735
(818) 860-2864
Mailing address
161 W ALTADENA DR UNIT 564, ALTADENA, CA 91001-4735
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
05/11/2022
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