Organization
RE. AWAKENED FAITH COMMUNITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA L LAWRENCE MS (EXECUTIVE DIRECTOR)
(323) 239-4880
Entity
Organization
Contact information
Practice address
1516 E. 125TH ST, COMPTON, CA 90222-1004
(800) 936-0012
Mailing address
P.O. BOX 5023, COMPTON, CA 90224-5023
(800) 936-0012
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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