Organization
FAMILY CRISIS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYNA DIAZ LCSW (CLINICAL SUPERVISOR)
(323) 737-3900
Entity
Organization
Contact information
Practice address
2116 ARLINGTON AVE, LOS ANGELES, CA 90018-1353
(323) 737-3900
Mailing address
2116 ARLINGTON AVE, LOS ANGELES, CA 90018-1353
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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