| Elite Behavioral Solutions Llc | |
|
3504b Cannon Dr Twentynine Palms CA 92277-9469 | |
| (520) 304-0494 | |
| Not Available |
| Full Name | Elite Behavioral Solutions Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3504b Cannon Dr, Twentynine Palms, California |
| Authorized Official Name and Position | Monica Ruffalo (SOLE MEMBER/MANAGING MEMBER) |
| Authorized Official Contact | 5203040494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Behavioral Solutions Llc 3504b Cannon Dr Twentynine Palms CA 92277-9469 Ph: () - | Elite Behavioral Solutions Llc 3504b Cannon Dr Twentynine Palms CA 92277-9469 Ph: (520) 304-0494 |
| NPI Number | 1730925140 |
|---|---|
| Provider Enumeration Date | 07/04/2024 |
| Last Update Date | 07/07/2024 |
| Certification Date | 07/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730925140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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