Organization
CENTERED COMMUNITY FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN BRYAN (EXECUTIVE DIRECTOR)
(310) 489-5322
Entity
Organization
Contact information
Practice address
2716 S VERMONT AVE STE 9, LOS ANGELES, CA 90007-2594
(310) 489-5322
Mailing address
2716 S VERMONT AVE STE 9, LOS ANGELES, CA 90007-2594
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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