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Organization

HAMBURGER HOME

Active
Other names
Aviva Family and Children's Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. REGINA BETTE LMFT (CHIEF EXECUTIVE OFFICER)
(323) 876-0550
Entity
Organization

Contact information

Practice address
1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902
(323) 876-0550
(323) 876-0439
Mailing address
7120 FRANKLIN AVE, LOS ANGELES, CA 90046-3002
(323) 876-0550
(323) 436-7042

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
191800285
CA

Other

Enumeration date
03/05/2007
Last updated
06/03/2015
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