COVENANT HOUSE CALIFORNIA NPI 1518169325

NPI Information

COVENANT HOUSE CALIFORNIA is a community based residential treatment facility mental illness in Los Angeles, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. COVENANT HOUSE CALIFORNIA NPI is 1518169325. The provider is registered as an organization entity type.
The provider Other Name Is Children's Hospital La Covenant.

The provider's business location address is:

1325 N WESTERN AVE
LOS ANGELES, CA
ZIP 90027-615
Phone: (323) 461-3131
Fax: (323) 957-7419

The provider's authorized official is Bill Bedrossian .
The authorized official title is Executive Director and has the following contact phone number (323) 461-3131.

The enumeration date for this NPI number is 6/4/2007 and was last updated on 1/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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