Organization
BENEVA HEALTH & BEHAVIORAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES CODNER LICSW (CLINICAL SOCIAL WORKER)
(857) 261-1026
Entity
Organization
Contact information
Practice address
555 N BROADWAY, LOS ANGELES, CA 90012-4700
(857) 261-1026
Mailing address
555 N BROADWAY APT 807, LOS ANGELES, CA 90012-4732
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/04/2024
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