# NATIONAL DIVERSITY COALITION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386520377
- **Authorized official:** FAITH BAUTISTA (CFO)
- **Authorized official phone:** (310) 351-0857

## Contact information

- **Practice address:** 4333 ADMIRALTY WAY STE 2, MARINA DEL REY, CA 90292-5469
- **Practice address phone:** (310) 351-0857
- **Mailing address:** 4333 ADMIRALTY WAY STE 2, MARINA DEL REY, CA 90292-5469

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 373H00000X | Day Training/Habilitation Specialist | — | NULL | — |
| 373H00000X | Day Training/Habilitation Specialist | — | — | — |
| 374U00000X | Home Health Aide | — | NULL | — |
| 374U00000X | Home Health Aide | — | — | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/14/2025
- **Last updated:** 08/14/2025