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 | |
261QC1500X Clinic/Center, Community Health (Licence: CA 960001417) | |
Enumeration Date | 2007-02-06 |
Last Update Date | 2024-02-13 |