Organization
UNIQUELY BEHAVIORAL HEALTH LLC
Active
Organization
UNIQUELY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN FORNEAS (FOUNDER / DIRECTOR OF OPERATIONS)
(310) 740-5236
Entity
Organization
Contact information
Practice address
529 W 105TH ST, LOS ANGELES, CA 90044-4423
(310) 299-5982
Mailing address
8605 SANTA MONICA BLVD # 264936, WEST HOLLYWOOD, CA 90069-4109
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/20/2023
Last updated
09/01/2023
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