Organization · Type 2 NPI

Didi Hirsch Psychiatric Service

Mental Illness Community Based Residential Treatment Facility · Inglewood, CA

NPI number 1467583518 Active

Practice location

1007 Myrtle Ave
Inglewood, CA 90301-4009

Call (310) 412-4191 Map

Fax (310) 412-3942

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

31 other providers at this address

NPI record

NPI: 1467583518
Entity type: Organization (Type 2)
Issued: Mar 8, 2007
Last updated: Oct 6, 2020
Status: Active

Other names

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Didi Hirsch Excelsior House · other name
Didi Hirsch Excelsior House · other name

Authorized official

Dulce M Ruiz
Contracts & Grants Manager
(310) 751-5442

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467583518

Didi Hirsch Psychiatric Service's National Provider Identifier is 1467583518, issued on Mar 8, 2007. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Inglewood, CA. The record was last updated on Oct 6, 2020.