Organization · NPI-2

Black Women For Wellness

Community Health Worker · Los Angeles, CA

NPI number1467796474
StatusActive
Last updated in NPPESNov 15, 2012

Details

NPI
1467796474
Entity type
Organization (NPI-2)
Legal business name
Black Women For Wellness
Organization subpart
No
Enumeration date
Nov 15, 2012
Last updated
Nov 15, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker–CAYes
251V00000X Voluntary or Charitable–CA

Practice location

4340 11th Ave
Los Angeles, CA 90008-5205

Phone 323-290-5955

Mailing address

Po Box 292516
Los Angeles, CA 90029-7516

Phone 323-290-5955

Authorized official

Janette Robinson Flint
Executive Director
3232905955

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