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308 W State St Ste 3d Redlands CA 92373-4653 | |
| (909) 302-0925 | |
| (909) 247-3319 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 308 W State St Ste 3d, Redlands, California |
| Authorized Official Name and Position | Michelle N Mcnevin (OWNER) |
| Authorized Official Contact | 9093020925 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 7698 Redlands CA 92375-0698 Ph: (909) 302-0925 | 308 W State St Ste 3d Redlands CA 92373-4653 Ph: (909) 302-0925 |
| NPI Number | 1275292179 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 04/04/2023 |
| Certification Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275292179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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