Organization
LAC-DMH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE M MANUEL (SR. COMMUNITY WORKER)
(213) 905-3659
Entity
Organization
Contact information
Practice address
4060 WATSON PLAZA DR, LAKEWOOD, CA 90712-4033
(213) 905-3659
Mailing address
1552 E NORBERRY ST, LANCASTER, CA 93535-3449
(231) 905-3659
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2025
Last updated
05/09/2025
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