Organization
DIDI HIRSCH PSYCHIATRIC SERVICE
Active
Other names
Didi Hirsch MHS - Via Avanta
Organization subpart
No
Provider details
NPI number
Authorized official
DULCE M RUIZ (CONTRACTS & GRANTS MANAGER)
(310) 751-5442
Entity
Organization
Contact information
Practice address
11643 GLENOAKS BLVD, PACOIMA, CA 91331-1050
(818) 897-2609
(818) 890-7159
Mailing address
4760 SEPULVEDA BLVD, CULVER CITY, CA 90230-4820
(310) 390-6612
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
10/08/2020
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