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Organization
SAN FERNANDO MENTAL HEALTH CENTER
Active
Organization
SAN FERNANDO MENTAL HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYLA DECOS MSW INTERN (MSW INTERN)
(818) 832-2400
Entity
Organization
Contact information
Practice address
10605 BALBOA BLVD SUITE 100, GRANADA HILLS, CA 91344
(818) 832-2400
Mailing address
10605 BALBOA BLVD SUITE 100, GRANADA HILLS, CA 91344
(818) 832-2400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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