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Organization

EMBOLDEN YOUTH SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KENDRA BOLDEN (EXECUTIVE DIRECTOR)
(562) 225-4442
Entity
Organization

Contact information

Practice address
643 W 95TH ST, LOS ANGELES, CA 90044-5615
(323) 305-3209
Mailing address
643 W 95TH ST, LOS ANGELES, CA 90044-5615
(323) 305-3209

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
05/13/2026
Last updated
05/13/2026
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