Organization
BIENVENIDOS CHILDREN'S CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MIRIAM GONZALEZ MA (CHIEF PROGRAM OFFICER)
(213) 785-5906
Entity
Organization
Contact information
Practice address
258 W BADILLO ST, COVINA, CA 91723-1906
(626) 543-1121
(626) 543-1138
Mailing address
255 N SAN GABRIEL BLVD, PASADENA, CA 91107-3429
(626) 696-1270
(626) 798-7899
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7575A
—
CA
Enumeration date
03/09/2007
Last updated
03/22/2016
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