| Block Counseling, Family & Child Therapy Inc. | |
|
71777 San Jacinto Dr Ste 204 Rancho Mirage CA 92270-4457 | |
| (760) 345-0120 | |
| (760) 345-3166 |
| Full Name | Block Counseling, Family & Child Therapy Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 71777 San Jacinto Dr Ste 204, Rancho Mirage, California |
| Authorized Official Name and Position | Charlene Block (PRESIDENT) |
| Authorized Official Contact | 7603450120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Block Counseling, Family & Child Therapy Inc. 71777 San Jacinto Dr Ste 204 Rancho Mirage CA 92270-4457 Ph: (760) 345-0120 | Block Counseling, Family & Child Therapy Inc. 71777 San Jacinto Dr Ste 204 Rancho Mirage CA 92270-4457 Ph: (760) 345-0120 |
| NPI Number | 1104318211 |
|---|---|
| Provider Enumeration Date | 06/04/2018 |
| Last Update Date | 06/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104318211 | NPI | - | NPPES |
| 1841673530 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LMFT46488 (California) | Primary |
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