Organization
L.A. CENTER FOR POSITIVE CHANGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN K MICHAEL PSYD (EXECUTIVE DIRECTOR)
(310) 390-9717
Entity
Organization
Contact information
Practice address
11924 W WASHINGTON BLVD, LOS ANGELES, CA 90066-4680
(310) 390-9717
(310) 390-9717
Mailing address
11924 W WASHINGTON BLVD, LOS ANGELES, CA 90066-4680
(310) 390-9717
(310) 390-9717
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
36631
CA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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