Organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN J SOUTHARD D.S.W. (DIRECTOR)
(213) 738-4601
Entity
Organization
Contact information
Practice address
251 E AVENUE K6 STE H, LANCASTER, CA 93535-4513
(661) 947-8400
Mailing address
550 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(213) 738-4601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
7756
CA
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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