NPI | 1548764392 |
---|---|
Former Legal Business Name | ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC. |
Other Name | ST. JOHN'S WELL CHILD AND FAMILY CENTER - BOYS AND GIRLS |
Entity Type | Organization |
Authorized Contact | MARIA SOCORRO GENIE Executive Project Director 323-541-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2018-03-19 |
Last Update Date | 2024-02-13 |