| Dmh Dhs Collaboration Long Beach | |
|
1333 Chestnut Ave Long Beach CA 90813-2944 | |
| (213) 738-3111 | |
| (213) 351-2493 |
| Full Name | Dmh Dhs Collaboration Long Beach |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1333 Chestnut Ave, Long Beach, California |
| Authorized Official Name and Position | Lisa H. Wong (ACTING DIRECTOR) |
| Authorized Official Contact | 2137384601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dmh Dhs Collaboration Long Beach 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Dmh Dhs Collaboration Long Beach 1333 Chestnut Ave Long Beach CA 90813-2944 Ph: (213) 738-3111 |
| NPI Number | 1134424252 |
|---|---|
| Provider Enumeration Date | 01/20/2011 |
| Last Update Date | 08/10/2022 |
| Certification Date | 08/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134424252 | NPI | - | NPPES |
| 7804 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | () | Primary |
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