| NPI | 1972300564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAKEISHA MACK Owner / Executive Director 323-331-5995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| 163W00000X Registered Nurse | |
| 164X00000X Licensed Vocational Nurse | |
| 171400000X Health & Wellness Coach | |
| 171R00000X Interpreter | |
| 172V00000X Community Health Worker | |
| 253Z00000X In Home Supportive Care | |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 373H00000X Day Training/Habilitation Specialist | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2025-02-28 |