Individual provider · Type 1 NPI

Nicole Wakus

Community/Behavioral Health Agency · Los Angeles, CA

NPI number 1598884264 Active

Practice location

711 S New Hampshire Ave
Los Angeles, CA 90005-1831

Call (213) 385-5100 Map

Mailing address

17 Park Ave Apt 4
Venice, CA 90291-3245

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XIMF 49469 (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 1598884264

Nicole Wakus's National Provider Identifier is 1598884264, issued on Mar 27, 2007. 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 Jul 8, 2007.