Organization
SOCIAL SERVICE PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MERYL STERN (VICE PRESIDENT)
(310) 473-4448
Entity
Organization
Contact information
Practice address
6938 LAUREL CANYON BLVD.,, UNIT 316, NORTH HOLLYWOOD, CA 91605
(310) 497-3718
Mailing address
11835 W. OLYMPIC LVD.,, STE. 1090, LOS ANGELES, CA 90064
(310) 473-4448
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
CA
282N00000X
General Acute Care Hospital
Primary
—
CA
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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