JACK GAINES A PROFESSIONAL CORP.

Clinic/Center - Adult Mental Health

Active Organization
NPI: 1619210291

Practice Address

4833 RUBIO AVE
Encino, CA 91436

Phone: (818) 981-4030

Specialties

Specialty Code Primary License
Clinic/Center - Adult Mental Health 261QM0850X Yes C14269 (CA)

Frequently Asked Questions

NPI 1619210291 is the National Provider Identifier for JACK GAINES A PROFESSIONAL CORP., a Clinic/Center - Adult Mental Health provider located in Encino, CA. This NPI was enumerated on April 1, 2013.

Quick Facts

NPI
1619210291
Type
Organization
Enumerated
Apr 1, 2013
Last Updated
Apr 1, 2013

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