| NPI | 1700513660 |
|---|---|
| Former Legal Business Name | ST. JOHN'S WELL CHILD AND FAMILY CENTER |
| Entity Type | Organization |
| Authorized Contact | MARIA SOCORRO GENIE Executive Assistant 323-541-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2024-02-13 |