| NPI | 1306646526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYREE BERRY CEO 213-537-3881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| 252Y00000X Early Intervention Provider Agency | |
| 261QC1500X Clinic/Center, Community Health | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-09-09 |