Organization
MARYVALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LYNN CULVER (SENIOR DIRECTOR OF COMMUNITY BASED)
(626) 263-9133
Entity
Organization
Contact information
Practice address
2502 E HUNTINGTON DR, DUARTE, CA 91010
(626) 357-1514
(626) 359-4285
Mailing address
2502 E HUNTINGTON DR, DUARTE, CA 91010-2221
(626) 357-1514
(626) 359-4285
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/13/2011
Last updated
02/19/2025
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