Organization · Type 2 NPI
Mission City Community Network, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) · Hollywood, CA
NPI number
1710102009
Active
Practice location
4842 Hollywood Blvd
Hollywood, CA 90027-5302
Fax (323) 644-1171
Mailing address
15206 Parthenia St
North Hills, CA 91343-5305
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center | 261QC1500X | 960001162 (CA) |
| Federally Qualified Health Center (FQHC) | 261QF0400X | 960001162 (CA) |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | 960001162 (CA) |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
Another provider at this address
Other mental health clinic/center (including community mental health center) providers in Hollywood
About NPI 1710102009
Mission City Community Network, Inc.'s National Provider Identifier is 1710102009, issued on Apr 13, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Hollywood, CA. The record was last updated on Mar 21, 2011.