| NPI | 1912278953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANNA JEAN SMITH CEO/Director 323-640-2039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW25991) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCSW14453) |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2016-03-01 |