Fountain Hope And Health For Youth | |
2930 W Imperial Hwy 510 Inglewood CA 90303-3143 | |
(323) 755-5632 | |
(323) 755-5630 |
Full Name | Fountain Hope And Health For Youth |
---|---|
Speciality | Community/behavioral Health |
Location | 2930 W Imperial Hwy, Inglewood, California |
Authorized Official Name and Position | Abraham Wale Jimoh (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 3237555632 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fountain Hope And Health For Youth 2930 W Imperial Hwy 510 Inglewood CA 90303-3143 Ph: (323) 755-5632 | Fountain Hope And Health For Youth 2930 W Imperial Hwy 510 Inglewood CA 90303-3143 Ph: (323) 755-5632 |
NPI Number | 1073873915 |
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Provider Enumeration Date | 05/25/2012 |
Last Update Date | 05/25/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073873915 | NPI | - | NPPES |
0000000000 | Other | CA | MEDI-CAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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