| Love And Respect Youth Foundation | |
|
4728 S Western Ave Los Angeles CA 90062-2320 | |
| (323) 293-7388 | |
| (323) 293-7805 |
| Full Name | Love And Respect Youth Foundation |
|---|---|
| Speciality | Counselor |
| Location | 4728 S Western Ave, Los Angeles, California |
| Authorized Official Name and Position | Koresha Babette Bell (AGENT OF RECORD) |
| Authorized Official Contact | 3232937805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Love And Respect Youth Foundation 4728 S Western Ave Los Angeles CA 90062-2320 Ph: (323) 293-7388 | Love And Respect Youth Foundation 4728 S Western Ave Los Angeles CA 90062-2320 Ph: (323) 293-7388 |
| NPI Number | 1992967129 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992967129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (California) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (California) | Secondary |
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