Organization
CHISAN HEALTHCARE SERVICES CORP
Active
Other names
CHISAN HEALTHCARE CORP
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL CHINENYE GODWIN PMHNP (NP)
(323) 347-9220
Entity
Organization
Contact information
Practice address
8803 S 8TH AVE, INGLEWOOD, CA 90305
(323) 347-9220
Mailing address
8803 S 8TH AVE, INGLEWOOD, CA 90305
(323) 347-9220
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
04/15/2024
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