UCLA TIES FOR FAMILIES NPI 1720315948

NPI Information

UCLA TIES FOR FAMILIES is a mental health counselor in Los Angeles, CA. UCLA TIES FOR FAMILIES NPI is 1720315948. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1033 GAYLEY AVE
SUITE 204
LOS ANGELES, CA
ZIP 90024-417
Phone: (310) 794-2457

The provider's authorized official is Audra Langley .
The authorized official title is Director and has the following contact phone number (310) 794-2457.

The enumeration date for this NPI number is 11/9/2009 and was last updated on 10/16/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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