Organization
TOTAL FAMILY SUPPORT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA VERKHOVSKY MS (DIRECTOR OF HR)
(213) 213-0851
Entity
Organization
Contact information
Practice address
601 MICHOLETORENA ST, LOS ANGELES, CA 90026
(213) 213-0581
(213) 213-0580
Mailing address
830 S OLIVE ST, LOS ANGELES, CA 90014-3006
(213) 213-0581
(213) 213-0580
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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