Provider First Line Business Practice Location Address:
550 S. VERMONT AVE. FLOOR 3
Provider Second Line Business Practice Location Address:
DEPT. OF MENTAL HEALTH LOS ANGELES
Provider Business Practice Location Address City Name:
L.A.
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-738-2529
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/22/2007