Organization
DREW CHILD DEVELOPMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE YVONNE URIZAR LCSW (DIRECTOR OF MENTAL HEALTH & CHILD W)
(323) 249-2950
Entity
Organization
Contact information
Practice address
1770 E. 118TH STREET, LOS ANGELES, CA 90059-2518
(323) 249-2950
(323) 249-2970
Mailing address
1770 E. 118TH STREET, LOS ANGELES, CA 90059-2518
(323) 249-2950
(323) 249-2970
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1245407
CA
251S00000X
Community/Behavioral Health Agency
191593453
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01245407
MEDI-CAL PROVIDER ID #
CA
Enumeration date
05/29/2007
Last updated
01/04/2019
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