Provider First Line Business Practice Location Address:
450 BAUCHET ST DEPT OF
Provider Second Line Business Practice Location Address:
JAIL MENTAL HEALTH
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90012-2907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-974-9077
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/22/2006