Organization
DMH- CENTRAL JUVENILE HALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LUJAN (PSYCHIATRIC SOCIAL WORK INTERN)
(323) 919-2878
Entity
Organization
Contact information
Practice address
1605 EASTLAKE AVE, LOS ANGELES, CA 90033-1009
(323) 226-8847
Mailing address
1605 EASTLAKE AVE, LOS ANGELES, CA 90033-1009
(323) 226-8847
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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