Organization
CHILD MENTAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE SLAGLE (SUPERVISOR)
(562) 218-4077
Entity
Organization
Contact information
Practice address
5316 BABCOCK AVE, VALLEY VILLAGE, CA 91607-2304
(818) 505-8450
Mailing address
5316 BABCOCK AVE, VALLEY VILLAGE, CA 91607-2304
(818) 505-8450
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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