| NPI | 1265115364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEVON MAURICE WATSON CEO 323-633-9766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QB0400X Clinic/Center, Birthing | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-08-08 |