NPI | 1093190621 |
---|---|
Doing Business As | SA1 HOME |
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 | 2015-07-24 |
Last Update Date | 2023-04-05 |