| Organization Name: | CHILD MENTAL HEALTH CLINIC |
| NPI Number: | 1396040200 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINE SLAGLE (SUPERVISOR) |
| Mailing Address: | 5316 Babcock Ave Valley Village |
| State: | CA US |
| Postal Code: | 916072304 |
| Phone Number: | 8185058450 |
| Fax Number: | |
| NPI Enumeration Date: | 01/24/2011 |
| NPI Last Update Date: | 01/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |