| NPI | 1871395442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARON CHRISTOPHER RANDOLPH Executive Director 323-677-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174200000X Meals |
| Additional Taxonomies | 177F00000X Lodging |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 253Z00000X In Home Supportive Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 405300000X Prevention Professional | |
| Enumeration Date | 2025-03-25 |
| Last Update Date | 2025-03-25 |