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Organization
LOS ANGELES DEPARTMENT OF MENTAL HEALTH
Active
Organization
LOS ANGELES DEPARTMENT OF MENTAL HEALTH
Active
Other names
Roybal Family Mental Health Services School Based Program
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LAURA ROSARIO CALVILLO MSW (PSYCHIATRIC SOCIAL WORKER)
(323) 887-5788
Entity
Organization
Contact information
Practice address
4701 E CESAR E CHAVEZ AVE FL 2, LOS ANGELES, CA 90022-1209
(323) 887-5788
Mailing address
PO BOX 8, MONTEBELLO, CA 90640-0008
(323) 972-3495
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
101YM0800X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ASW20875
ASSOCIATE CLINICAL SOCIAL
CA
Enumeration date
11/01/2006
Last updated
08/22/2020
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