NPI | 1467672295 |
---|---|
Doing Business As | EDMUND D. EDELMAN -- FSP 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 | 2007-04-26 |
Last Update Date | 2022-08-04 |