| NPI | 1134930522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE YVETTE IRVING Executive Director 323-273-9815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| 251V00000X Voluntary or Charitable | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP2400X Clinic/Center, Prison Health | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2025-01-15 |
| Last Update Date | 2025-01-15 |