| NPI | 1043690118 |
|---|---|
| Doing Business As | SA5 HOME SOUTH TEAM |
| Entity Type | Organization |
| Authorized Contact | LISA H. WONG Director 213-947-6670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2025-07-03 |