| NPI | 1336913110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHANIEL DEVAUGHN Owner/Executive Director 310-629-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251X00000X |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |