NPI | 1083633929 |
---|---|
Doing Business As | GENESIS COUNTYWIDE OLDER ADULT PROGRAM |
Entity Type | Organization |
Authorized Contact | LISA H. WONG Acting Director 213-738-4601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2022-07-11 |