Organization
HEALTHY INDIVIDUALS AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SALMA THEUS MS MFT (MENTAL HEALTH THERAPIST INTERN)
(310) 946-8096
Entity
Organization
Contact information
Practice address
12440 FIRESTONE BLVD, SUITE 116, NORWALK, CA 90650-4328
(310) 946-8096
Mailing address
12440 FIRESTONE BLVD, SUITE 116, NORWALK, CA 90650-4328
(310) 946-8096
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
59562
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59562
—
CA
Enumeration date
07/08/2009
Last updated
07/08/2009
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