| NPI | 1982822995 |
|---|---|
| Doing Business As | PRIDE HEALTH SERVICES CRENSHAW |
| Entity Type | Organization |
| Authorized Contact | GODFREY NWOGENE Executive Director 310-677-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2022-07-21 |