| Im Possible Youth Foundation | |
|
11011 Crenshaw Blvd Suite 203 Inglewood CA 90303-6330 | |
| (310) 677-7080 | |
| (866) 894-5431 |
| Full Name | Im Possible Youth Foundation |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11011 Crenshaw Blvd, Inglewood, California |
| Authorized Official Name and Position | Millicent Shungu Mazauwaba (CHEIF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3106777080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Im Possible Youth Foundation 11011 Crenshaw Blvd Suite 203 Inglewood CA 90303-6330 Ph: (310) 677-7080 | Im Possible Youth Foundation 11011 Crenshaw Blvd Suite 203 Inglewood CA 90303-6330 Ph: (310) 677-7080 |
| NPI Number | 1093052565 |
|---|---|
| Provider Enumeration Date | 01/03/2013 |
| Last Update Date | 01/03/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093052565 | NPI | - | NPPES |
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