Provider Demographics
NPI:1114620762
Name:THE CENTER IN HOLLYWOOD
Entity Type:Organization
Organization Name:THE CENTER IN HOLLYWOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROGRAMS
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:STELLINO
Authorized Official - Suffix:
Authorized Official - Credentials:ASW
Authorized Official - Phone:714-595-0771
Mailing Address - Street 1:6636 SELMA AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7115
Mailing Address - Country:US
Mailing Address - Phone:714-595-0771
Mailing Address - Fax:323-378-3224
Practice Address - Street 1:6636 SELMA AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90028-7115
Practice Address - Country:US
Practice Address - Phone:714-595-0771
Practice Address - Fax:323-378-3224
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty