Organization
A LIGHTENED PATH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NINA TATIANA GRAY M.A. (CEO)
(323) 399-2595
Entity
Organization
Contact information
Practice address
3310 W VERNON AVE, LOS ANGELES, CA 90008-5230
(323) 399-2595
Mailing address
3310 W VERNON AVE, LOS ANGELES, CA 90008-5230
(323) 399-2595
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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