| 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 |
|---|---|
| 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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