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43302 Cottage Ln Lancaster CA 93536-5453 | |
| (661) 478-0203 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 43302 Cottage Ln, Lancaster, California |
| Authorized Official Name and Position | Sheretta Deion Thomas-lee (CEO/ LEAD CLINICIAN) |
| Authorized Official Contact | 6614780203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
43302 Cottage Ln Lancaster CA 93536-5453 Ph: (661) 478-0203 | 43302 Cottage Ln Lancaster CA 93536-5453 Ph: (661) 478-0203 |
| NPI Number | 1740791391 |
|---|---|
| Provider Enumeration Date | 10/21/2017 |
| Last Update Date | 10/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740791391 | NPI | - | NPPES |
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