| Guiding Light Home For Boys, Inc | |
|
26624 Saffron Cir Moreno Valley CA 92555-3834 | |
| (951) 775-3748 | |
| Not Available |
| Full Name | Guiding Light Home For Boys, Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 26624 Saffron Cir, Moreno Valley, California |
| Authorized Official Name and Position | Shugella Weaver Thomas (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9517753748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guiding Light Home For Boys, Inc 25123 Middlebrook Way Moreno Valley CA 92551-9204 Ph: () - | Guiding Light Home For Boys, Inc 26624 Saffron Cir Moreno Valley CA 92555-3834 Ph: (951) 775-3748 |
| NPI Number | 1366000945 |
|---|---|
| Provider Enumeration Date | 05/30/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366000945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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