| A New Creation Child, Individual & Family Counseling Treatment Center | |
|
23800 Sunnymead Blvd Ste D Moreno Valley CA 92553-7731 | |
| (310) 420-5341 | |
| (888) 313-0140 |
| Full Name | A New Creation Child, Individual & Family Counseling Treatment Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 23800 Sunnymead Blvd Ste D, Moreno Valley, California |
| Authorized Official Name and Position | Paulette Douglas (PRESIDENT & CEO) |
| Authorized Official Contact | 3109637174 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A New Creation Child, Individual & Family Counseling Treatment Center 23800 Sunnymead Blvd Ste D Moreno Valley CA 92553-7731 Ph: (310) 963-7174 | A New Creation Child, Individual & Family Counseling Treatment Center 23800 Sunnymead Blvd Ste D Moreno Valley CA 92553-7731 Ph: (310) 420-5341 |
| NPI Number | 1992179360 |
|---|---|
| Provider Enumeration Date | 11/22/2015 |
| Last Update Date | 03/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992179360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LMFT 49399 (California) | Primary |
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