Organization
COMMUNITY COUNSELING FOR INDIVIDUALS AND FAMILIES
Active
Other names
Eating Disorder Center of CA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF RADANT MFT (ADMINISTRATOR)
(310) 472-3728
Entity
Organization
Contact information
Practice address
520 S SEPULVEDA BLVD, SUITE 208, LOS ANGELES, CA 90049-3521
(310) 472-3728
(310) 472-9960
Mailing address
27162 SEA VISTA DR, MALIBU, CA 90265-4437
(310) 457-9958
(310) 457-8442
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
13192
CA
Other
Enumeration date
03/05/2007
Last updated
03/14/2016
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