Im Possible Youth Foundation
NPI #1093052565 in Inglewood, California
Provider Information
- NPI Number
- 1093052565
- Entity Type
- Organization
- Organization Name
- Im Possible Youth Foundation
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- Jan 3, 2013
- Last Updated
- Jan 3, 2013
Practice Location
- Address
- 11011 CRENSHAW BLVD
- Address 2
- SUITE 203
- City
- Inglewood
- State
- California
- ZIP Code
- 90303-6330
- Phone
- (310) 677-7080
Authorized Official
- Name
- MISS MILLICENT SHUNGU MAZAUWABA, M.A.
- Title
- CHEIF EXECUTIVE OFFICER
- Phone
- (310) 677-7080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
| Social Worker - Clinical — Clinical |
| Marriage & Family Therapist |
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