| NPI | 1942398367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETTINA LEWIS COO 213-893-1960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 960000972) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 251V00000X Voluntary or Charitable | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550000850) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2024-08-29 |