Lac-dmh | |
4060 Watson Plaza Dr Lakewood CA 90712-4033 | |
(213) 905-3659 | |
Not Available |
Full Name | Lac-dmh |
---|---|
Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 4060 Watson Plaza Dr, Lakewood, California |
Authorized Official Name and Position | Constance M Manuel (SR. COMMUNITY WORKER) |
Authorized Official Contact | 2139053659 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lac-dmh 1552 E Norberry St Lancaster CA 93535-3449 Ph: (231) 905-3659 | Lac-dmh 4060 Watson Plaza Dr Lakewood CA 90712-4033 Ph: (213) 905-3659 |
NPI Number | 1659161958 |
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Provider Enumeration Date | 05/09/2025 |
Last Update Date | 05/09/2025 |
Certification Date | 05/09/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659161958 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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