Organization
ADVANCES IN MENTAL HEALTH AND ADDICTIONS TREATMENT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN A STEPANOFF (CEO)
(562) 365-2020
Entity
Organization
Contact information
Practice address
5199 E PACIFIC COAST HWY, LONG BEACH, CA 90804-3309
(562) 365-2020
Mailing address
PO BOX 5576, LOS ALAMITOS, CA 90721-5576
(562) 310-3777
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY22896
CA
103TC0700X
Clinical Psychologist
PSY22896
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY22896
CA
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
02/16/2017
Last updated
03/17/2018
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