| Endeavor Youth & Family Services | |
|
13831 Nathan Pl Moreno Valley CA 92555-5609 | |
| (951) 420-4651 | |
| Not Available |
| Full Name | Endeavor Youth & Family Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 13831 Nathan Pl, Moreno Valley, California |
| Authorized Official Name and Position | Stacy Pipes-joyner (PRESIDENT) |
| Authorized Official Contact | 9514204651 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavor Youth & Family Services 6809 Indiana Ave # 130-b11 Riverside CA 92506-4221 Ph: (951) 420-4651 | Endeavor Youth & Family Services 13831 Nathan Pl Moreno Valley CA 92555-5609 Ph: (951) 420-4651 |
| NPI Number | 1568173037 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 08/21/2023 |
| Certification Date | 07/17/2023 |
| Medicare PECOS PAC ID | 4587019781 |
|---|---|
| Medicare Enrollment ID | O20231009000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568173037 | NPI | - | NPPES |
| Provider Name | Stacy Pipes-joyner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023773306 PECOS PAC ID: 5496100695 Enrollment ID: I20231009000377 |
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