NPI | 1811548712 |
---|---|
Doing Business As | WESLEY HEALTH CENTERS-MLK RECUPERATIVE CARE CENTER |
Entity Type | Organization |
Authorized Contact | AL BALLERSTEROS Chief Executive Officer 323-201-4516 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-09-23 |
Last Update Date | 2019-09-23 |