CODI BENOLOGA LICENSED CLINICAL SOCIAL WORKER INC is a clinic center in Long Beach, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CODI BENOLOGA LICENSED CLINICAL SOCIAL WORKER INC NPI is 1578148805. The provider is registered as an organization entity type.
The provider's business location address is:
4195 N VIKING WAY STE 333
LONG BEACH, CA
ZIP 90808-466
Phone: (562) 568-9005
The provider's authorized official is Codi Jo Benologa .
The authorized official title is Owner/director and has the following contact phone number (480) 221-4972.
The enumeration date for this NPI number is 3/18/2021 and was last updated on 3/18/2021.