Organization
CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES, INC
Active
Organization
CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES, INC
Active
Parent organization
CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES
Other names
enlightenment chemical dependency program
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA INSTITUTE OF HEALTH & SOCIAL SERVICES
Authorized official
DR. ARTHUR TISDALE JR. PSY.D. (REG ADMIN)
(310) 645-5227
Entity
Organization
Contact information
Practice address
3756 SANTA ROSALIA DR, SUITE 628, LOS ANGELES, CA 90008-3606
(323) 293-8771
(310) 645-0833
Mailing address
8929 S SEPULVEDA BLVD, SUITE 200, LOS ANGELES, CA 90045-3616
(310) 645-5227
(310) 645-0833
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
06/30/2010
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