| Cys Rite Of Passage Marbella | |
|
24507 Marbella Ave Carson CA 90745-6410 | |
| (310) 834-1198 | |
| Not Available |
| Full Name | Cys Rite Of Passage Marbella |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 24507 Marbella Ave, Carson, California |
| Authorized Official Name and Position | Rusty E. Alexander (MANAGING BUSINESS DIRECTOR) |
| Authorized Official Contact | 7753922639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cys Rite Of Passage Marbella 2560 Business Pkwy Ste B Minden NV 89423-8961 Ph: (775) 392-2657 | Cys Rite Of Passage Marbella 24507 Marbella Ave Carson CA 90745-6410 Ph: (310) 834-1198 |
| NPI Number | 1902381361 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902381361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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