Organization
TELEHEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NADIA ISLAM LCSW (CLINICAL DIRECTOR)
(213) 821-5918
Entity
Organization
Contact information
Practice address
3375 S HOOVER ST STE H201, LOS ANGELES, CA 90089-0116
(866) 740-6502
Mailing address
6730 OVERVIEW DR, MONTGOMERY, AL 36117-7652
(240) 475-7270
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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