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Organization
CLARK COMMUNITY DEVELOPMENT
Active
Organization
CLARK COMMUNITY DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADRIAN TAFOYA LCSW (CONSULTANT / CLINICAL DIRECTOR)
(310) 866-6703
Entity
Organization
Contact information
Practice address
6525 S WESTERN AVE, LOS ANGELES, CA 90047-1812
(323) 310-6381
Mailing address
4465 WAWONA ST, LOS ANGELES, CA 90065-5133
(323) 310-6381
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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