| NPI | 1033008925 |
|---|---|
| Doing Business As | GRACELIGHT COMMUNITY HEALTH - MOBILE 1 |
| Entity Type | Organization |
| Authorized Contact | MARINA SNITMAN Chief Operating Officer 323-635-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-03 |