| NPI | 1306197033 |
|---|---|
| Doing Business As | LIFELINE COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DONWILLIAMS A YEBOAH Chief Executive Officer 323-476-1316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2012-09-20 |
| Last Update Date | 2012-09-20 |