| NPI | 1902436744 |
|---|---|
| Doing Business As | KOINONIA FAMILY SERVICES |
| Entity Type | Organization |
| Authorized Contact | TIFFANY DANIELLE SICKLER Program Director 310-926-3916 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |