GEROPHYSCHIATRIC SERVICES INC NPI 1568550390

NPI Information

GEROPHYSCHIATRIC SERVICES, INC is a community based residential treatment facility mental illness in Long Beach, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. GEROPHYSCHIATRIC SERVICES, INC NPI is 1568550390. The provider is registered as an organization entity type.
The provider Is Doing Business As La Casa Mental Health Rehabilitation Center.

The provider's business location address is:

6060 N PARAMOUNT BLVD
LONG BEACH, CA
ZIP 90805-711
Phone: (562) 634-9534
Fax: (562) 634-9534

The provider's authorized official is Leslie Davis .
The authorized official title is Cfo, Svp and has the following contact phone number (510) 337-7950.

The CLIA number assigned to this NPI record is 05D2204647 - other - mental health rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 12/1/2021.

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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