Organization
HIDDDDEN NO MORE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDY T TALLEY DSW, LCSW (EXECUTIVE DIRECTOR)
(424) 317-6800
Entity
Organization
Contact information
Practice address
8929 S SEPULVEDA BLVD STE 410, LOS ANGELES, CA 90045-3634
(424) 317-6800
(877) 219-8239
Mailing address
8929 S SEPULVEDA BLVD STE 410, LOS ANGELES, CA 90045-3634
(424) 317-6800
(877) 219-8239
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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