Provider Demographics
NPI:1417179128
Name:NATIONAL COUNCIL OF JEWISH WOMEN-LOS ANGELES
Entity Type:Organization
Organization Name:NATIONAL COUNCIL OF JEWISH WOMEN-LOS ANGELES
Other - Org Name:WOMEN HELPING WOMEN SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:AVA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:323-852-8521
Mailing Address - Street 1:543 N FAIRFAX AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-1715
Mailing Address - Country:US
Mailing Address - Phone:323-651-2930
Mailing Address - Fax:
Practice Address - Street 1:543 N FAIRFAX AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-1715
Practice Address - Country:US
Practice Address - Phone:323-651-2930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2007-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS21692251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health