Healthcare Provider Details

I. General information

NPI: 1467082909
Provider Name (Legal Business Name): THE WHOLE CHILD MENTAL HEALTH & HOUSING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2020
Last Update Date: 02/05/2020
Certification Date: 02/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6812 NORWALK BLVD
WHITTIER CA
90606-1740
US

IV. Provider business mailing address

10155 COLIMA RD
WHITTIER CA
90603-2042
US

V. Phone/Fax

Practice location:
  • Phone: 562-789-3115
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: CHRISTINA GALLEGOS
Title or Position: MANAGER OF ADMINISTRATIVE SERVICES
Credential:
Phone: 562-692-0383