Blockdare INC
NPI #1205241163 in San Marino, California
Provider Information
- NPI Number
- 1205241163
- Entity Type
- Organization
- Organization Name
- Blockdare INC
- Primary Specialty
- Clinic/Center - Adolescent and Children Mental Health
- Enumeration Date
- Jun 29, 2014
- Last Updated
- Jun 29, 2014
Practice Location
- Address
- 2260 BRENTFORD RD
- City
- San Marino
- State
- California
- ZIP Code
- 91108-2801
- Phone
- (626) 429-3651
Authorized Official
- Name
- DR. STELLA M ABRAHAN, PHD,MFT
- Title
- SUPERVISOR
- Phone
- (626) 429-3651
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
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