Provider Demographics
NPI:1700441359
Name:THE HAMILTON CENTER FOR MENTAL AND BEHAVIORAL HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:THE HAMILTON CENTER FOR MENTAL AND BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:THE HAMILTON CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOONE
Authorized Official - Suffix:
Authorized Official - Credentials:LBA
Authorized Official - Phone:818-818-3591
Mailing Address - Street 1:23679 CALABASAS RD STE 954
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1502
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1000 WIGWAM PKWY STE 100
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-8164
Practice Address - Country:US
Practice Address - Phone:833-288-4764
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE HAMILTON CENTER FOR MENTAL AND BEHAVIORAL HEALTH SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty