| NPI | 1497897367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEWEL THAIS-WILLIAMS Director 323-733-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CA ac6736) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2020-08-22 |