| Angeles Especiales Parent Support Group | |
|
17644 Vine Ct Fontana CA 92335-3768 | |
| (909) 699-3614 | |
| Not Available |
| Full Name | Angeles Especiales Parent Support Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 17644 Vine Ct, Fontana, California |
| Authorized Official Name and Position | Helen Neri (DIRECTOR) |
| Authorized Official Contact | 9096993614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angeles Especiales Parent Support Group 17644 Vine Ct Fontana CA 92335-3768 Ph: (909) 699-3614 | Angeles Especiales Parent Support Group 17644 Vine Ct Fontana CA 92335-3768 Ph: (909) 699-3614 |
| NPI Number | 1629803804 |
|---|---|
| Provider Enumeration Date | 09/05/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629803804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
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