Organization
MENTAL HEALTH OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA LOUISE JONES (LVN)
(562) 857-1743
Entity
Organization
Contact information
Practice address
1231 E SOUTH ST, LONG BEACH, CA 90805-4320
(562) 984-9116
Mailing address
1231 E SOUTH ST, LONG BEACH, CA 90805-4320
(562) 984-9116
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
229862
CA
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
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