# WATTS WORLD REVIVAL

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

## Provider details

- **NPI number:** 1538967377
- **Authorized official:** MR. RICKEY A HODGES JR. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (310) 256-6605

## Contact information

- **Practice address:** 11328 S CENTRAL AVE, LOS ANGELES, CA 90059-1642
- **Practice address phone:** (323) 569-4162
- **Mailing address:** 11328 S CENTRAL AVE, LOS ANGELES, CA 90059-1642
- **Mailing address phone:** (323) 569-4162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/06/2025
- **Last updated:** 03/06/2025