Organization · Type 2 NPI

Emq Hollygrove

Emotionally Disturbed Childrens' Residential Treatment Facility · Los Angeles, CA

NPI number 1275739401 Active

Practice location

815 N El Centro Ave
Los Angeles, CA 90038-3805

Mailing address

950 S Westmoreland Ave, Apt. 202
Los Angeles, CA 90006-5669

Specialties and licenses

TaxonomyCodeLicense
Emotionally Disturbed Childrens' Residential Treatment Facility Primary 322D00000X322D00000X (CA)

Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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About NPI 1275739401

Emq Hollygrove's National Provider Identifier is 1275739401, issued on Jun 25, 2007. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 22, 2020.