| NPI | 1710675699 |
|---|---|
| Doing Business As | ANTELOPE VALLEY CHILD AND ADOLESCENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LISA H WONG Director 213-947-6670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |