Organization · Type 2 NPI

Mark Fairfield, Lcsw, Bcd, A Licensed Clinical Social Work Corporation

Community/Behavioral Health Agency · Los Angeles, CA

NPI number 1174762058 Active

Practice location

612 N Sepulveda Blvd, Ste. 3
Los Angeles, CA 90049-2175

Fax (877) 768-2272

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	LCS19969 (CA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1174762058

Mark Fairfield, Lcsw, Bcd, A Licensed Clinical Social Work Corporation's National Provider Identifier is 1174762058, issued on Feb 17, 2009. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Los Angeles, CA. The record was last updated on Feb 17, 2009.