Organization
SPECIAL SERVICE FOR GROUPS
Active
Other names
SSG-Tessie Cleveland CSC
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT HATANAKA (EXECUTIVE DIRECTOR)
(213) 553-1800
Entity
Organization
Contact information
Practice address
8019 S. COMPTON AVE, SUITE 106, LOS ANGELES, CA 90001-3409
(323) 586-7333
Mailing address
905 E 8TH ST, LOS ANGELES, CA 90021-1848
(213) 553-1800
(213) 553-1822
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/05/2007
Last updated
08/14/2014
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