| A Coming Of Age Foster Family Agency And Counseling Center | |
|
7899 Mission Grove Pkwy S Ste A Riverside CA 92508-5062 | |
| (951) 776-9223 | |
| (951) 776-9250 |
| Full Name | A Coming Of Age Foster Family Agency And Counseling Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7899 Mission Grove Pkwy S Ste A, Riverside, California |
| Authorized Official Name and Position | David Lamarr Mccoy (CEO) |
| Authorized Official Contact | 9514888053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Coming Of Age Foster Family Agency And Counseling Center Po Box 9640 Moreno Valley CA 92552-9640 Ph: (951) 776-9223 | A Coming Of Age Foster Family Agency And Counseling Center 7899 Mission Grove Pkwy S Ste A Riverside CA 92508-5062 Ph: (951) 776-9223 |
| NPI Number | 1073070686 |
|---|---|
| Provider Enumeration Date | 03/01/2019 |
| Last Update Date | 10/04/2023 |
| Certification Date | 10/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073070686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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