NPI 1215066436

Gateways Percy Village

Organisation Psychiatric Residential Treatment Facility Los Angeles, CA

Practice location

Address: 3455 Percy Street, Los Angeles, CA 90023
Phone: (323) 268-2100
Fax: (323) 268-2460
Mailing address: 1891 Effie Street, Los Angeles, CA 90026

Authorised official

Name: Mara Pelsman
Title: Ceo
Phone: (323) 644-2000

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 198600612 (CA)

Other Psychiatric Residential Treatment Facility providers in California →

Registry record

NPI: 1215066436
Entity type: Organization
NPI issued: 5 Mar 2007
Record last updated: 11 Mar 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.