Organization
GOLDEN STATE BEHAVIORAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL JONES (ADMINISTRATOR)
(818) 844-1203
Entity
Organization
Contact information
Practice address
1560 E CHEVY CHASE DR, SUITE 130, GLENDALE, CA 91206-4140
(818) 240-0340
(818) 545-7672
Mailing address
1560 E CHEVY CHASE DR, SUITE 130, GLENDALE, CA 91206-4197
(818) 240-0340
(818) 545-7672
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G15084
CA
Other
Enumeration date
09/06/2007
Last updated
06/04/2010
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