Provider Demographics
NPI:1700055902
Name:INSTITUTE FOR BLACK PARENTING
Entity Type:Organization
Organization Name:INSTITUTE FOR BLACK PARENTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ZENA
Authorized Official - Middle Name:FORD
Authorized Official - Last Name:OGLESBY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MSW
Authorized Official - Phone:310-693-9959
Mailing Address - Street 1:11222 S LA CIENEGA BLVD
Mailing Address - Street 2:SUITE 233
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90304-1109
Mailing Address - Country:US
Mailing Address - Phone:310-693-9959
Mailing Address - Fax:310-693-9982
Practice Address - Street 1:11222 S LA CIENEGA BLVD
Practice Address - Street 2:SUITE 233
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90304-1109
Practice Address - Country:US
Practice Address - Phone:310-693-9959
Practice Address - Fax:310-693-9982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management