Provider Demographics
NPI:1700648847
Name:CHILDREN'S INSTITUTE, INC.
Entity Type:Organization
Organization Name:CHILDREN'S INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM COMPLIANCE ANALYST
Authorized Official - Prefix:MISS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:CERDA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:213-260-7663
Mailing Address - Street 1:2121 W TEMPLE ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-4915
Mailing Address - Country:US
Mailing Address - Phone:213-260-7600
Mailing Address - Fax:213-315-5873
Practice Address - Street 1:325 E 111TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90061-3003
Practice Address - Country:US
Practice Address - Phone:323-420-2170
Practice Address - Fax:323-756-1392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health