| NPI | 1932249505 |
|---|---|
| Former Legal Business Name | ST. JOHN'S WELL CHILD AND FAMILY CENTER, INC. |
| Entity Type | Organization |
| Authorized Contact | JAMES J MANGIA Chief Executive Officer 323-541-1660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 171W00000X Contractor | |
| 251B00000X Case Management | |
| 251X00000X Supports Brokerage | |
| 261QC1500X Clinic/Center Community Health (Licence: CA 960001417) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-02-13 |