NPI | 1548301229 |
---|---|
Entity Type | Organization |
Authorized Contact | JANN HAMILITON-LEE President CEO 310-802-6177 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2007-02-08 |
Last Update Date | 2007-10-05 |