NPI | 1194108357 |
---|---|
Doing Business As | SA2 HOME WEST 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 | 2015-07-07 |
Last Update Date | 2025-06-27 |