Organization · Type 2 NPI

Gap Behavioral Health Services

Psychiatric/Mental Health Nurse Practitioner · Inglewood, CA

NPI number 1497519300 Active

Practice location

1626 Centinela Ave Ste 100
Inglewood, CA 90302-6930

Call (409) 356-9778 Map

Mailing address

PO Box 2354
Inglewood, CA 90305-0354

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	None listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

2 other providers at this address

Ascend Healthcare Services, Inc.Psychiatric/Mental Health Nurse Practitioner Inglewood, CA NPI 1578336152
Murdis Latoya Boston, MAMarriage & Family Therapist Inglewood, CA NPI 1598965808

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NPI record

NPI: 1497519300
Entity type: Organization (Type 2)
Issued: Feb 12, 2024
Last updated: Mar 25, 2024
Status: Active

Other names

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Gap Behaviroal Health Services Inc · former legal business name
Gap Behaviroal Health Services Inc · former legal business name

Authorized official

Dr. Jovita C Ezirim-Salamialofojeq, NP
President
(409) 356-9778

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About NPI 1497519300

Gap Behavioral Health Services's National Provider Identifier is 1497519300, issued on Feb 12, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Inglewood, CA. The record was last updated on Mar 25, 2024.