Organization
CAL VIC FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW HENDERSON (PROGRAM DIRECTOR)
(323) 493-6064
Entity
Organization
Contact information
Practice address
4804 PARKGLEN AVE, VIEW PARK, CA 90043-1012
(323) 493-6064
Mailing address
4804 PARKGLEN AVE, VIEW PARK, CA 90043-1012
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
CA
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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