Organization
HAMBURGER HOME
Active
Other names
Aviva Family and Children's Services
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA BETTE (PRESIDENT/CEO)
(323) 876-0550
Entity
Organization
Contact information
Practice address
1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902
(323) 876-0550
(323) 876-0439
Mailing address
1701 CAMINO PALMERO ST, LOS ANGELES, CA 90046-2902
(323) 876-0550
(323) 876-0439
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
VN251427
CA
Other
Enumeration date
09/20/2011
Last updated
08/12/2020
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