Organization
ABRAHAM LINCOLN HIGH SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE CUELLAR BRAVO B.A (PROGRAM DIRECTOR)
(323) 728-0100
Entity
Organization
Contact information
Practice address
5723 E. WHITTIER BLVD., LOS ANGELES, CA 90022
(323) 278-0100
(323) 728-9218
Mailing address
3501 N BROADWAY, LOS ANGELES, CA 90031-2856
(323) 728-0100
(323) 728-9218
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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