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Organization

LOS ANGELES DEPARTMENT OF MENTAL HEALTH

Active
Other names
Roybal Family Mental Health Services School Based Program
Organization subpart
No

Provider details

NPI number
Authorized official
MISS LAURA ROSARIO CALVILLO MSW (PSYCHIATRIC SOCIAL WORKER)
(323) 887-5788
Entity
Organization

Contact information

Practice address
4701 E CESAR E CHAVEZ AVE FL 2, LOS ANGELES, CA 90022-1209
(323) 887-5788
Mailing address
PO BOX 8, MONTEBELLO, CA 90640-0008
(323) 972-3495

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
101YM0800X
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ASW20875
ASSOCIATE CLINICAL SOCIAL
CA
Enumeration date
11/01/2006
Last updated
08/22/2020
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