Provider First Line Business Practice Location Address:
7003 NORTH FIGUEROA STREET
Provider Second Line Business Practice Location Address:
OPTIMIST YOUTH HOMES & FAMILY SERVICES
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90041-1076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-543-4225
Provider Business Practice Location Address Fax Number:
323-344-7382
Provider Enumeration Date:
06/28/2012