NPI | 1689073595 |
---|---|
Former Legal Business Name | GOOD NEIGHBOR CLINIC, AMC |
Other Name | GOOD NEIGHBOR CLINIC CRENSHAW BOULEVARD |
Entity Type | Organization |
Authorized Contact | HAZEL MCKILLOP Owner/CEO 323-298-1668 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
208D00000X General Practice (Licence: CA A31491) | |
208D00000X General Practice | |
Enumeration Date | 2014-08-15 |
Last Update Date | 2024-02-29 |