Provider First Line Business Practice Location Address:
200 PINE AVENUE MENTAL HEALTH AMERICA LOS ANGELES
Provider Second Line Business Practice Location Address:
SUITE 400
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90802
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-285-1330
Provider Business Practice Location Address Fax Number:
562-263-3396
Provider Enumeration Date:
08/04/2021