Jack Gaines a Professional Corp
Jack Gaines a Professional Corp is an Adult Mental Health Clinic/Center in Encino, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4833 Rubio AveEncino, CA 91436-1118
Phone: (818) 981-4030
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X · Licence C14269 (CA) |
|---|
Record details
| NPI number | 1619210291 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Gaines — President · (818) 981-4030 |
| NPI enumerated | April 1, 2013 |
| Last updated in NPPES | April 1, 2013 |
| Mailing address | 4833 Rubio Ave, Encino, CA 91436-1118 |
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