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Organization
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER - FSP
Active
Organization
SAN FERNANDO VALLEY COMMUNITY MENTAL HEALTH CENTER - FSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNA BALSAVAGE LCSW (FSP PROGRAM MANAGER)
(818) 785-0103
Entity
Organization
Contact information
Practice address
14658 OXNARD ST, VAN NUYS, CA 91411-3119
(818) 785-0103
(818) 785-0145
Mailing address
14658 OXNARD ST, VAN NUYS, CA 91411-3119
(818) 785-0103
(818) 785-0145
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS 23834
CA
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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