Provider Demographics
NPI:1750682514
Name:EL PROYECTO DEL BARRIO
Entity Type:Organization
Organization Name:EL PROYECTO DEL BARRIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:IRMA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ERCOLONO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-895-2206
Mailing Address - Street 1:9140 VAN NUYS BLVD
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-6727
Mailing Address - Country:US
Mailing Address - Phone:818-895-2206
Mailing Address - Fax:818-895-0824
Practice Address - Street 1:9140 VAN NUYS BLVD
Practice Address - Street 2:SUITE 211
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-6727
Practice Address - Country:US
Practice Address - Phone:818-895-2206
Practice Address - Fax:818-895-0824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-10
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherCASE MANAGER