Healthcare Provider Details

I. General information

NPI: 1740308030
Provider Name (Legal Business Name): CHILDREN'S INSTITUTE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 08/16/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 E MANCHESTER AVE
LOS ANGELES CA
90001-3666
US

IV. Provider business mailing address

2121 W TEMPLE ST
LOS ANGELES CA
90026-4915
US

V. Phone/Fax

Practice location:
  • Phone: 213-260-7600
  • Fax: 213-260-7791
Mailing address:
  • Phone: 213-385-5100
  • Fax: 213-260-7791

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MARTINE SINGER
Title or Position: CEO
Credential:
Phone: 213-385-5100