Organization
ELDERLY BEHAVIORAL WELLNESS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENI BAGOURDI (CEO)
(310) 999-9683
Entity
Organization
Contact information
Practice address
2001 S BARRINGTON AVE STE 314, LOS ANGELES, CA 90025-5379
(310) 999-9683
Mailing address
2001 S BARRINGTON AVE STE 314, LOS ANGELES, CA 90025-5379
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
PSY22542
CA
Other
Enumeration date
01/26/2015
Last updated
06/01/2021
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