# LOS ANGELES YOUTH NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hollywood House
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689119380
- **Authorized official:** MARK SUPPER (PRESIDENT/CEO)
- **Authorized official phone:** (323) 467-8466

## Contact information

- **Practice address:** 1719 TAFT AVE, LOS ANGELES, CA 90028-5704
- **Practice address phone:** (323) 957-7757
- **Mailing address:** 1754 TAFT AVE, LOS ANGELES, CA 90028-5705
- **Mailing address phone:** (323) 366-2450

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 198208596 | CA | Yes |

## Other

- **Enumeration date:** 01/04/2017
- **Last updated:** 01/06/2017