Organization
LONG BEACH CHILD AND ADOLESCENT PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA MARTINEZ BA (INTERN)
(562) 208-0969
Entity
Organization
Contact information
Practice address
240 E 20TH ST, LONG BEACH, CA 90806-5412
(562) 599-9271
Mailing address
240 E 20TH ST, LONG BEACH, CA 90806-5412
(562) 599-9271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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