Organization Name: | ALMANSOR CLINICAL SERVICES |
NPI Number: | 1003036641 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ED SHRADER (CLINICAL DIRECTOR) |
Mailing Address: | 5900 S Eastern Ave Ste 138 Commerce |
State: | CA US |
Postal Code: | 900404020 |
Phone Number: | 3233445536 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 01/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |