Organization
JWCH INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALVARO P. BALLESTEROS (CHIEF OPERATING OFFICER)
(213) 484-1186
Entity
Organization
Contact information
Practice address
521 S. SAN PEDRO STREET, LOS ANGELES, CA 90013-2148
(213) 484-1186
Mailing address
1910 W SUNSET BLVD, SUITE 650, LOS ANGELES, CA 90026-3281
(213) 484-1186
(213) 413-3443
Taxonomy
Speciality
Code
Description
License number
State
103TR0400X
Rehabilitation Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
10/19/2020
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