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Jennifer Sarah Zidow
Community/Behavioral Health Agency in Los Angeles, California
NPI 1740534858

Jennifer Sarah Zidow is a Community/Behavioral Health Agency based in Lynwood, CA. Jennifer Sarah Zidow practices in Los Angeles, CA. The NPI Number for Jennifer Sarah Zidow is 1740534858 and holds a License No. 191593453 (California).

The current practice location address for Jennifer Sarah Zidow is 1770 E 118Th St, Los Angeles, CA and can be reached out via phone at 323-249-2950 and via fax at 323-249-2970.

Location: 1770 E 118Th St, Los Angeles, CA, 90262-3513
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740534858
Provider Name
Jennifer Sarah Zidow
Credential
Provider Entity Type
Individual
Gender
Female
Address
1770 E 118Th St, Los Angeles, CA, 90262-3513
Phone Number
323-249-2950
Fax Number
323-249-2970
Provider Enumeration Date
10/29/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01245407 01 CA MEDICAL
institution
Provider Business Practice Location Address Details
Address
1770 E 118Th St
City
Los Angeles
State
California
Zip
90059-2518
Phone Number
323-249-2950
Fax Number
323-249-2970
person
Provider Business Mailing Address Details
Address
1770 E 118Th St
City
Los Angeles
State
California
Zip
90059-2518
Phone Number
323-249-2950
Fax Number
323-249-2970
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
191593453 (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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