Provider First Line Business Practice Location Address:
201 CENTRE PLAZA DR
Provider Second Line Business Practice Location Address:
JUVENILE COURT MENTAL HEALTH, DEPT. 425
Provider Business Practice Location Address City Name:
MONTEREY PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91754-2142
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-526-6386
Provider Business Practice Location Address Fax Number:
323-260-5298
Provider Enumeration Date:
12/08/2006