Organization
TESSIE CLEVELAND COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN CHADWICK (CHIEF OPERATING OFFICER)
(323) 586-7333
Entity
Organization
Contact information
Practice address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
Mailing address
8019 COMPTON AVE, LOS ANGELES, CA 90001-3409
(323) 586-7333
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7688
—
CA
Enumeration date
05/19/2008
Last updated
02/13/2013
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