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Nicole Wakus
Community/Behavioral Health Agency in Los Angeles, California
NPI 1598884264

Nicole Wakus is a Community/Behavioral Health Agency based in Venice, CA. Nicole Wakus practices in Los Angeles, CA. The NPI Number for Nicole Wakus is 1598884264 and holds a License No. IMF 49469 (California).

The current practice location address for Nicole Wakus is 711 S New Hampshire Ave, Los Angeles, CA and can be reached out via phone at 213-385-5100.

Location: 711 S New Hampshire Ave, Los Angeles, CA, 90291-3245
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598884264
Provider Name
Nicole Wakus
Credential
Provider Entity Type
Individual
Gender
Female
Address
711 S New Hampshire Ave, Los Angeles, CA, 90291-3245
Phone Number
213-385-5100
Fax Number
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
711 S New Hampshire Ave
City
Los Angeles
State
California
Zip
90005-1831
Phone Number
213-385-5100
Fax Number
person
Provider Business Mailing Address Details
Address
711 S New Hampshire Ave
City
Los Angeles
State
California
Zip
90005-1831
Phone Number
213-385-5100
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
IMF 49469 (California)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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