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 |