Im Possible Youth Foundation

LBN: Im Possible Youth Foundation
Im Possible Youth Foundation is an health care organization with primary practice located at 11011 Crenshaw Blvd Suite 203, Inglewood CA 90303-6330. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Im Possible Youth Foundation can be contacted via phone (310) 677-7080, or through Mazauwaba, Millicent Shungu via phone (310) 677-7080.

Contact Information

Primary practice address
11011 Crenshaw Blvd Suite 203 Inglewood CA 90303-6330
Phone: (310) 677-7080
Fax: (866) 894-5431
Website:
Map and Directions
Authorized official contact:
Name: Mazauwaba, Millicent Shungu Master of Arts (MA)
Phone: (310) 677-7080

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1093052565
LBN Legal business name Im Possible Youth Foundation
DBA Doing business as
Authorized official Mazauwaba, Millicent Shungu Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2013
Last updated Jan 3rd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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