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Organization
THERAPY ON DEMAND
Active
Organization
THERAPY ON DEMAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER HOLLER (CHIEF EXECUTIVE OFFICER)
(503) 200-0944
Entity
Organization
Contact information
Practice address
5455 WILSHIRE BLVD STE 1010, LOS ANGELES, CA 90036-4237
(503) 200-0944
Mailing address
5455 WILSHIRE BLVD STE 1010, LOS ANGELES, CA 90036-4237
(503) 200-0944
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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