| 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 |