Organization
GOING BEYOND BOUNDARIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN GARAY (EXECUTIVE DIRECTOR)
(323) 313-4399
Entity
Organization
Contact information
Practice address
479 PARK FRONT WALK, LOS ANGELES, CA 90011-3943
(323) 313-4399
(323) 919-8400
Mailing address
479 PARK FRONT WALK, LOS ANGELES, CA 90011-3943
(323) 313-4399
(323) 919-8400
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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