| NPI | 1215597976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE TAMAR COSEY Chief Executive Officer 323-984-5768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2019-06-15 |