Organization
LACADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ANTHONY MARQUEZ (COUNSELOR)
(562) 818-8310
Entity
Organization
Contact information
Practice address
12425 MAPLEDALE ST, NORWALK, CA 90650-6027
(562) 818-8310
Mailing address
12425 MAPLEDALE ST, NORWALK, CA 90650-6027
(562) 818-8310
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
RS8143
CA
Other
Enumeration date
04/25/2007
Last updated
08/22/2020
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