Organization Name: | LA COUNTY DEPARTMENT OF MENTAL HEALTH |
NPI Number: | 1508164328 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DON WELLS (PROGRAM HEAD) |
Mailing Address: | 1300 W 155th St Ste. #103 Gardena |
State: | CA US |
Postal Code: | 902474048 |
Phone Number: | 3105128100 |
Fax Number: | 3103242111 |
NPI Enumeration Date: | 03/02/2011 |
NPI Last Update Date: | 03/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |