| Healing Triangle Soul-making, Inc. | |
|
27720 Avenue Scott Ste 160 Valencia CA 91355-3460 | |
| (626) 278-2301 | |
| Not Available |
| Full Name | Healing Triangle Soul-making, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 27720 Avenue Scott Ste 160, Valencia, California |
| Authorized Official Name and Position | Mark Tanabe (PRESIDENT) |
| Authorized Official Contact | 6262782301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Triangle Soul-making, Inc. 27720 Avenue Scott Ste 160 Valencia CA 91355-3460 Ph: () - | Healing Triangle Soul-making, Inc. 27720 Avenue Scott Ste 160 Valencia CA 91355-3460 Ph: (626) 278-2301 |
| NPI Number | 1346746377 |
|---|---|
| Provider Enumeration Date | 03/30/2018 |
| Last Update Date | 03/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346746377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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