| Prevent Homelessness Promote Hlth | |
|
222 S. Hill St. 6th Floor Suite 600 Los Angeles CA 90012-3523 | |
| (213) 349-7946 | |
| Not Available |
| Full Name | Prevent Homelessness Promote Hlth |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 222 S. Hill St., Los Angeles, 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 |
|---|---|
| Prevent Homelessness Promote Hlth 510 S Vermont Ave Los Angeles CA 90020-1992 Ph: (213) 738-4601 | Prevent Homelessness Promote Hlth 222 S. Hill St. 6th Floor Suite 600 Los Angeles CA 90012-3523 Ph: (213) 349-7946 |
| NPI Number | 1073158622 |
|---|---|
| Provider Enumeration Date | 11/07/2019 |
| Last Update Date | 09/12/2022 |
| Certification Date | 09/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073158622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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