Organization
HOLLYWOOD MENTA HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA CIENFUEGOS (PROGRAM HEAD)
(323) 769-6100
Entity
Organization
Contact information
Practice address
1224 VINE ST, LOS ANGELES, CA 90038-1612
(323) 769-6100
Mailing address
12747 RIVERSIDE DR, VALLEY VILLAGE, CA 91607-3300
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/07/2006
Last updated
08/22/2020
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