NEWBLKWALSTREET

CARSON, CA
NPI1679434138
Entity TypeOrganization
Authorized ContactGERMAINE HAGAN
Owner
562-305-9143
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Enumeration Date2025-11-22
Last Update Date2025-11-22
Business Address
NEWBLKWALSTREET
1052 E BRENNER DR
CARSON, CA 90746-2407
Phone number: 562-305-9143
Mailing Address
NEWBLKWALSTREET
1052 E BRENNER DR
CARSON, CA 90746-2407
Phone number: