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Organization

COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH

Active
Parent organization
COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH
Other names
CENTRAL JUVENILE HALL MENTAL HEALTH UNIT
Organization subpart
Yes

Provider details

NPI number
Legal business name
COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH
Authorized official
DR. MARVIN J SOUTHARD, D.S.W. D.S.W. (DIRECTOR)
(213) 738-4601
Entity
Organization

Contact information

Practice address
1605 EASTLAKE AVE, 2ND FLOOR, LOS ANGELES, CA 90033-1009
(323) 226-8826
(323) 226-8820
Mailing address
1605 EASTLAKE AVENUE, 2ND FLOOR, LOS ANGELES, CA 90033
(323) 226-8826
(323) 226-8820

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
CA

Other

Enumeration date
06/18/2014
Last updated
06/18/2014
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