Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization
DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDIA R CERON LCSW (MENTAL HEALTH CLINICAL SUPERVISOR)
(213) 473-6166
Entity
Organization
Contact information
Practice address
450 BAUCHET ST, M4127, LOS ANGELES, CA 90012-2907
(213) 473-6166
Mailing address
450 BAUCHET ST, M4127, LOS ANGELES, CA 90012-2907
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
26834
CA
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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