NPI | 1912636747 |
---|---|
Doing Business As | SA 4 COMMUNITY REINTEGRATION |
Entity Type | Organization |
Authorized Contact | LISA H. WONG Director 213-947-6670 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-06-07 |
Last Update Date | 2024-09-19 |