Provider First Line Business Practice Location Address:
LAUSD SCHOOL MENTAL HEALTH
Provider Second Line Business Practice Location Address:
439 WEST 97TH STREET
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90003
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-754-2856
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/20/2007