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Organization
PROGRAM FOR TORTURE VICTIMS
Active
Organization
PROGRAM FOR TORTURE VICTIMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA GRANDE (EXECUTIVE DIRECTOR)
(213) 384-4788
Entity
Organization
Contact information
Practice address
1505 E 17TH ST STE 222, SANTA ANA, CA 92705-8520
(213) 384-4788
Mailing address
3550 WILSHIRE BLVD STE 1960, LOS ANGELES, CA 90010-2401
(213) 384-4788
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
Primary
—
NULL
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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