Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2018-03-29
- Last updated
- 2020-11-24
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 6222 STATE STREET, RM COU
- City
- HUNTINGTON PARK CA
- Postal code
- 902554403
- Phone
- 323-923-9559
Organization contact
- Name
- CYNTHIA BAKER
- Title
- Director of Behavioral Health
- Phone
- 3235264016
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.