Provider Demographics
NPI:1194153247
Name:ASSESSMENT, CONSULTATION & TREATMENT
Entity type:Organization
Organization Name:ASSESSMENT, CONSULTATION & TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERPAIST
Authorized Official - Prefix:
Authorized Official - First Name:WANJOU
Authorized Official - Middle Name:
Authorized Official - Last Name:LACSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-280-2803
Mailing Address - Street 1:217 W LEMON AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016-2742
Mailing Address - Country:US
Mailing Address - Phone:213-280-2803
Mailing Address - Fax:
Practice Address - Street 1:217 W LEMON AVE APT 4
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-2742
Practice Address - Country:US
Practice Address - Phone:213-280-2803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services