NPI | 1811106636 |
---|---|
Doing Business As | EDELMAN WELLNESS CENTER OA FCCS |
Entity Type | Organization |
Authorized Contact | LISA H. WONG Director 213-738-4601 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2024-07-11 |