| NPI | 1588908305 |
|---|---|
| Doing Business As | WELLNESS CENTER AT JEFFERSON HIGH SCHOOL |
| Entity Type | Organization |
| Authorized Contact | RICHARD A VELOZ Chief Executive Officer 323-908-4247 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2021-07-02 |