Organization
CITY OF LONG BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA AYALA CASTILLO (PHP)
(562) 570-4331
Entity
Organization
Contact information
Practice address
2525 GRAND AVE, LONG BEACH, CA 90815-1765
(562) 570-4331
Mailing address
2525 GRAND AVE, LONG BEACH, CA 90815-1765
(562) 570-4331
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/17/2024
Last updated
12/04/2024
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