| NPI | 1780535203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YANCY WAYDELL FORT Program Director 213-516-5531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2026-02-09 |
| Last Update Date | 2026-02-09 |