Organization
LEAD WAY BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LI WEI WONG BCBA-D (EXECUTIVE CLINICAL DIRECTOR)
(626) 374-0306
Entity
Organization
Contact information
Practice address
177 E COLORADO BLVD # 200, PASADENA, CA 91105-1986
(626) 374-0306
Mailing address
177 E COLORADO BLVD # 200, PASADENA, CA 91105-1986
(626) 374-0306
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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