Re. Awakened Faith Community Services LLC
NPI #1609453539 in Compton, California
Provider Information
- NPI Number
- 1609453539
- Entity Type
- Organization
- Organization Name
- Re. Awakened Faith Community Services LLC
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Mar 26, 2021
- Last Updated
- Mar 26, 2021
Practice Location
- Address
- 1516 E. 125TH ST
- City
- Compton
- State
- California
- ZIP Code
- 90222-1004
- Phone
- (800) 936-0012
Authorized Official
- Name
- MS. TANYA L LAWRENCE, MS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (323) 239-4880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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