Organization
WESTMINSTER BAPTIST CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL DEVAUGHN (OWNER/EXECUTIVE DIRECTOR)
(310) 629-0746
Entity
Organization
Contact information
Practice address
2300 GRIFFITH AVE, LOS ANGELES, CA 90011-1602
(310) 629-0746
Mailing address
2300 GRIFFITH AVE, LOS ANGELES, CA 90011-1602
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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