NPI | 1063141190 |
---|---|
Doing Business As | RAISE A VILLAGE LA |
Entity Type | Organization |
Authorized Contact | MONICA JAN HUGHES Executive Director 818-961-6506 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Enumeration Date | 2022-06-06 |
Last Update Date | 2022-06-06 |