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Organization

DIDI HIRSCH PSYCHIATRIC SERVICE

Active
Other names
Didi Hirsch Excelsior House
Organization subpart
No

Provider details

NPI number
Authorized official
DULCE M RUIZ (CONTRACTS & GRANTS MANAGER)
(310) 751-5442
Entity
Organization

Contact information

Practice address
1007 MYRTLE AVE, INGLEWOOD, CA 90301-4009
(310) 412-4191
(310) 412-3942
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
(310) 398-5690

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary

Other

Enumeration date
03/08/2007
Last updated
10/06/2020
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