Cys Rite Of Passage Tustin Suite C | |
15405 Lansdowne Rd Ste C Tustin CA 92782-0201 | |
(714) 258-7710 | |
Not Available |
Full Name | Cys Rite Of Passage Tustin Suite C |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 15405 Lansdowne Rd Ste C, Tustin, California |
Authorized Official Name and Position | Rusty E. Alexander (MANAGING BUSINESSMANAGER) |
Authorized Official Contact | 7753922639 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cys Rite Of Passage Tustin Suite C 2560 Business Pkwy Ste B Minden NV 89423-8961 Ph: (775) 392-2657 | Cys Rite Of Passage Tustin Suite C 15405 Lansdowne Rd Ste C Tustin CA 92782-0201 Ph: (714) 258-7710 |
NPI Number | 1093282220 |
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Provider Enumeration Date | 10/25/2018 |
Last Update Date | 02/22/2019 |
Identifier | Type | State | Issuer |
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1093282220 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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