Organization
FOUNTAIN HOPE & HELP FOR YOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM WALE JIMOH (EXECUTIVE DIRECTOR)
(213) 300-0950
Entity
Organization
Contact information
Practice address
2930 W IMPERIAL HWY, STE 510, INGLEWOOD, CA 90303-3143
(323) 755-5632
Mailing address
2930 W IMPERIAL HWY, STE 510, INGLEWOOD, CA 90303-3143
(323) 755-5632
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
CA
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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