Organization
GEROPHYSCHIATRIC SERVICES, INC
Active
Other names
La Casa Mental Health Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE DAVIS (CFO, SVP)
(510) 337-7950
Entity
Organization
Contact information
Practice address
6060 N PARAMOUNT BLVD, LONG BEACH, CA 90805-3711
(562) 634-9534
(562) 634-9534
Mailing address
1080 MARINA VILLAGE PKWY STE 100, ALAMEDA, CA 94501-1078
(510) 337-7950
(510) 337-7969
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
DMH 02 190 007
CA
Other
Enumeration date
10/10/2006
Last updated
12/01/2021
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