| NPI | 1801810239 |
|---|---|
| Doing Business As | BARRY NIDORF JUVENILE HALL MENTAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | LISA H. WONG Acting Director 213-738-4601 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-07-18 |