Provider Demographics
NPI:1538977426
Name:EL CENTRO DE AMISTAD, INC
Entity type:Organization
Organization Name:EL CENTRO DE AMISTAD, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TANIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEL GATTO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:818-437-8235
Mailing Address - Street 1:14500 ROSCOE BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-4190
Mailing Address - Country:US
Mailing Address - Phone:818-441-7127
Mailing Address - Fax:818-361-5384
Practice Address - Street 1:14500 ROSCOE BLVD STE 205
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4190
Practice Address - Country:US
Practice Address - Phone:818-441-7127
Practice Address - Fax:818-361-5384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health