Organization
GATEWAYS PERCY VILLAGE B
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARA PELSMAN (CEO)
(323) 644-2000
Entity
Organization
Contact information
Practice address
1891 EFFIE ST, LOS ANGELES, CA 90026-1711
(323) 644-2000
Mailing address
3455 PERCY ST, LOS ANGELES, CA 90023-1716
(323) 268-2100
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
198600612
CA
Other
Enumeration date
05/31/2007
Last updated
03/11/2015
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