Organization
GAP BEHAVIORAL HEALTH SERVICES
Active
Other names
GAP BEHAVIROAL HEALTH SERVICES INC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOVITA C EZIRIM-SALAMIALOFOJEQ NP (PRESIDENT)
(409) 356-9778
Entity
Organization
Contact information
Practice address
1626 CENTINELA AVE STE 100, INGLEWOOD, CA 90302-6930
(409) 356-9778
Mailing address
PO BOX 2354, INGLEWOOD, CA 90305-0354
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
03/25/2024
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