Organization
HAMBURGER HOME
Active
Other names
Aviva
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA SMITH LMFT (ASSISTANT VP)
(323) 876-0550
Entity
Organization
Contact information
Practice address
1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902
(323) 876-0550
Mailing address
1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902
(323) 876-0550
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/10/2017
Last updated
04/10/2017
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