Organization
DEPARTMENT OF MENAL HELATH COMPTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELYN WILCOXEN LCSW (DISTRICT CHIEF)
(323) 418-4209
Entity
Organization
Contact information
Practice address
921 E COMPTON BLVD, COMPTON, CA 90221-3303
(310) 668-6900
Mailing address
921 E COMPTON BLVD, COMPTON, CA 90221-3303
(310) 668-6900
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
04/22/2009
Last updated
04/22/2009
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