Organization
BEYOND CANCER FAMILY THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY NMS MATHEW LMFT (CEO)
(310) 210-5230
Entity
Organization
Contact information
Practice address
4082 S CLOVERDALE AVE, LOS ANGELES, CA 90008-1033
(310) 210-5230
Mailing address
4082 S CLOVERDALE AVE, LOS ANGELES, CA 90008-1033
(310) 210-5230
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/02/2020
Last updated
05/02/2020
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