# LOS ANGELES DEPARTMENT OF MENTAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roybal Family Mental Health Services School Based Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669559589
- **Authorized official:** MISS LAURA ROSARIO CALVILLO MSW (PSYCHIATRIC SOCIAL WORKER)
- **Authorized official phone:** (323) 887-5788

## Contact information

- **Practice address:** 4701 E CESAR E CHAVEZ AVE FL 2, LOS ANGELES, CA 90022-1209
- **Practice address phone:** (323) 887-5788
- **Mailing address:** PO BOX 8, MONTEBELLO, CA 90640-0008
- **Mailing address phone:** (323) 972-3495

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 101YM0800X | CA | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ASW20875 | ASSOCIATE CLINICAL SOCIAL | CA |