Organization
ELA/AEC MUJERES Y HOMBRES NOBLES
Active
Organization
ELA/AEC MUJERES Y HOMBRES NOBLES
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 WHITTIER BLVD, LOS ANGELES, CA 90022-4222
(323) 728-0100
(323) 728-9218
Mailing address
1260 MONTEREY PASS RD, MONTEREY PARK, CA 91754-3617
(323) 728-0100
(323) 728-9218
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/14/2008
Last updated
02/14/2008
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