Emq Hollygrove in Los Angeles - Residential Treatment Facility, Emotionally Disturbed Children
Emq Hollygrove - NPI 1275739401
Emq Hollygrove is a Residential Treatment Facility, Emotionally Disturbed Children in Los Angeles, California. Emq Hollygrove practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Emq Hollygrove is 1275739401. The last update date is 2020-08-22.
Emq Hollygrove's current location address is 815 N El Centro Ave, Los Angeles, California. You can contact this provider via phone number 3234632119. The mailing address for Emq Hollygrove is 815 N El Centro Ave, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Emq Hollygrove |
---|---|
Address | 815 N El Centro Ave, Los Angeles, California |
Phone Number | 3234632119 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DAY REHABI |
---|---|
Authorized Official Name | Horton Martez Deric |
Credentials | BA MHRS |
Telephone Number | 3234632119 |
NPI Number Detail
NPI Number | 1275739401 |
---|---|
Provider Enumeration Date | 2007-06-25 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 815 N El Centro Ave |
---|---|
City | Los Angeles |
State | California (CA) |
Post Code | 900383805 |
Phone Number | 3234632119 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
---|---|
Taxonomy | 322D00000X |
Licence No | 322D00000X |
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Emq Hollygrove by the Centers for Medicare & Medicaid Services?
The Emq Hollygrove has been issued the NPI (National Provider Identifier) 1275739401, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Emq Hollygrove located?
The Emq Hollygrove is located at 815 N El Centro Ave, Los Angeles, CA 900383805.
What is Emq Hollygrove's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Emq Hollygrove is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy code that classifies this field of practice is 322D00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275739401 to Emq Hollygrove?
The Centers for Medicare & Medicaid Services originally issued the 1275739401 to Emq Hollygrove on 2007-06-25.
When was the information pertaining to Emq Hollygrove most recently updated or revised?
The details related to Emq Hollygrove, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.