Organization
TOTAL FAMILY SUPPORT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARINA VERKHOVSKY MS (DIRECTOR OF HR)
(213) 213-0581
Entity
Organization
Contact information
Practice address
1543 E PALMDALE BLVD, PALMDALE, CA 93550-2000
(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
—
—
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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