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Organization

DEPARTMENT OF MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FALGOONI LAD (DOCTORAL STUDENT)
(909) 241-0644
Entity
Organization

Contact information

Practice address
921 E COMPTON BLVD, COMPTON, CA 90221-3303
(310) 668-6859
Mailing address
13919 RAVENWOOD DR, CHINO HILLS, CA 91709-1788

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary

Other

Enumeration date
08/08/2011
Last updated
08/08/2011
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