| Hathaway-sycamores Child And Family Services | |
|
12510 Van Nuys Blvd Pacoima CA 91331-1338 | |
| (818) 287-9130 | |
| Not Available |
| Full Name | Hathaway-sycamores Child And Family Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12510 Van Nuys Blvd, Pacoima, California |
| Authorized Official Name and Position | Giovanna Andrea Garcia (FSP CHILD CLINICIAN II) |
| Authorized Official Contact | 8182879130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hathaway-sycamores Child And Family Services 12510 Van Nuys Blvd Pacoima CA 91331-1338 Ph: (818) 287-9130 | Hathaway-sycamores Child And Family Services 12510 Van Nuys Blvd Pacoima CA 91331-1338 Ph: (818) 287-9130 |
| NPI Number | 1659781623 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659781623 | NPI | - | NPPES |
| LCSW59641 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW 59641 (California) | Primary |
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