| NPI | 1760698112 |
|---|---|
| Doing Business As | SOUTH BAY MHS -- 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 | 2007-05-15 |
| Last Update Date | 2022-11-28 |