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Organization

GAY AND LESBIAN ADOLESCENT SOCIAL SERVICES AGENCY, INC.

Active
Other names
GLASS, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TERESA DECRESCENZO LCSW (EXECUTIVE DIRECTOR)
(310) 358-8727
Entity
Organization

Contact information

Practice address
112 HAMILTON PL, OAKLAND, CA 94612-3809
(510) 452-5437
(510) 452-1353
Mailing address
650 N ROBERTSON BLVD, WEST HOLLYWOOD, CA 90069-5022
(310) 358-8727
(310) 358-8721

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/22/2007
Last updated
08/22/2007
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