Organization
GAY AND LESBIAN ADOLESCENT SOCIAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA DECRESCENZO LCSW (EXECUTIVE DIRECTOR)
(818) 239-0112
Entity
Organization
Contact information
Practice address
1672 W AVENUE J, SUITE 203, LANCASTER, CA 93534-2827
(818) 239-0112
(818) 239-0244
Mailing address
1033 N HOLLYWOOD WAY, UNIT F, BURBANK, CA 91505-2540
(818) 239-0112
(818) 239-0244
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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