MEDICARE: 1736 FAMILY CRISIS CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor		CA

General Provider Information

NPI Number	:	1104958479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1736 FAMILY CRISIS CENTER

Provider Business Mailing Address
First Line	:	2116 ARLINGTON AVE
Second Line	:	SUITE 200
City	:	LOS ANGELES
State	:	CA
Zip	:	90018-1336
Country	:	US
Telephone Number	:	323-737-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	21707 HAWTHORNE BLVD
Second Line	:	SUITE 300
City	:	TORRANCE
State	:	CA
Zip	:	90503-7009
Country	:	US
Telephone Number	:	310-543-9900
Fax Number	:

Authorized Official
Title or Position	:	DEPUTY DIRECTOR
Name	:	LISA STEELE
Credential	:	PHD
Telephone Number	:	323-737-3900

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	08/22/2020

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