Provider Demographics
NPI:1962061945
Name:ALCOTT CENTER FOR MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:ALCOTT CENTER FOR MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROGRAMS
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:310-785-2121
Mailing Address - Street 1:1441 S ROBERTSON BLVD
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90035-3414
Mailing Address - Country:US
Mailing Address - Phone:310-785-2121
Mailing Address - Fax:310-553-6052
Practice Address - Street 1:1441-1443 S. ROBERTSON BLVD.
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035
Practice Address - Country:US
Practice Address - Phone:310-785-2121
Practice Address - Fax:310-553-6052
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALCOTT CENTER FOR MENTAL HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-12
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health