Organization
LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Parent organization
-
Other names
Hollywood Mental Health Center - Full Service Partnership Prog
Organization subpart
Yes
Provider details
NPI number
Legal business name
-
Authorized official
LISA H. WONG PYS.D. (ACTING DIRECTOR)
(213) 738-4601
Entity
Organization
Contact information
Practice address
947 COLE AVE, LOS ANGELES, CA 90038-2610
(323) 871-4600
(323) 467-2647
Mailing address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1992
(213) 738-4601
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7771
—
CA
Enumeration date
05/18/2007
Last updated
08/08/2022
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