Organization
EMQ HOLLYGROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN CARACOZA (DIRECTOR)
(323) 463-2119
Entity
Organization
Contact information
Practice address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
(323) 463-2119
(323) 463-0619
Mailing address
815 N EL CENTRO AVE, LOS ANGELES, CA 90038-3805
(323) 463-2119
(323) 463-0619
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/28/2007
Last updated
02/05/2013
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