Fountain Hope and Health for Youth
NPI #1073873915 in Inglewood, California
Provider Information
- NPI Number
- 1073873915
- Entity Type
- Organization
- Organization Name
- Fountain Hope and Health for Youth
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- May 25, 2012
- Last Updated
- May 25, 2012
Practice Location
- Address
- 2930 W IMPERIAL HWY
- Address 2
- 510
- City
- Inglewood
- State
- California
- ZIP Code
- 90303-3143
- Phone
- (323) 755-5632
Authorized Official
- Name
- ABRAHAM WALE JIMOH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (323) 755-5632
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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