| Los Angeles Community Mental Health Corp | |
|
5240 Golden Gate Pkwy Naples FL 34116-7670 | |
| (239) 692-9510 | |
| (239) 330-7252 |
| Full Name | Los Angeles Community Mental Health Corp |
|---|---|
| Speciality | Case Management |
| Location | 5240 Golden Gate Pkwy, Naples, Florida |
| Authorized Official Name and Position | Israel Iglesias (VICE PRESIDENT) |
| Authorized Official Contact | 7863579076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles Community Mental Health Corp 5240 Golden Gate Pkwy Naples FL 34116-7670 Ph: (239) 692-9510 | Los Angeles Community Mental Health Corp 5240 Golden Gate Pkwy Naples FL 34116-7670 Ph: (239) 692-9510 |
| NPI Number | 1720544471 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 03/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720544471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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