MISSION CITY COMMUNITY NETWORK, INC. is a mental health (including community mental health center) clinic center in Hollywood, CA. MISSION CITY COMMUNITY NETWORK, INC. NPI is 1710102009. The provider is registered as an organization entity type.
The provider's business location address is:
4842 HOLLYWOOD BLVD
HOLLYWOOD, CA
ZIP 90027-302
Phone: (323) 644-1110
Fax: (323) 644-1171
The provider's authorized official is Nik Gupta .
The authorized official title is Chief Executive Officer and has the following contact phone number (818) 895-3100.
The CLIA number assigned to this NPI record is 05D2051999 - community clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/13/2007 and was last updated on 3/21/2011.