| NPI | 1881244101 |
|---|---|
| Other Name | WESLEY HEALTH CENTERS - MLK RECUPERATIVE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | AL BALLESTEROS Chief Executive Officer 323-201-4516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |