Provider First Line Business Practice Location Address:
695 S. VERMONT AVE.
Provider Second Line Business Practice Location Address:
LOS ANGELES COUNTY DEPT. OF 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:
90005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-796-0316
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/30/2009