| NPI | 1649490475 |
|---|---|
| Doing Business As | SA3-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 |