| Tessie Cleveland Community Services | |
|
9621 S. Vermont Avenue Los Angeles California CA 90044-3217 | |
| (323) 586-7333 | |
| (323) 588-5622 |
| Full Name | Tessie Cleveland Community Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9621 S. Vermont Avenue, California, California |
| Authorized Official Name and Position | Shronda Givens (CEO) |
| Authorized Official Contact | 3235867333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tessie Cleveland Community Services 8019 Compton Ave Los Angeles CA 90001-3409 Ph: (323) 586-7333 | Tessie Cleveland Community Services 9621 S. Vermont Avenue Los Angeles California CA 90044-3217 Ph: (323) 586-7333 |
| NPI Number | 1649924192 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Certification Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649924192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |