Organization
HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES
Active
Organization
HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIOVANNA ANDREA GARCIA LCSW (FSP CHILD CLINICIAN II)
(818) 287-9130
Entity
Organization
Contact information
Practice address
12510 VAN NUYS BLVD, PACOIMA, CA 91331-1338
(818) 287-9130
Mailing address
12510 VAN NUYS BLVD, PACOIMA, CA 91331-1338
(818) 287-9130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW 59641
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LCSW59641
MEDI-CAL
CA
Enumeration date
04/30/2014
Last updated
04/30/2014
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