| Iclass Treatment Center Inc. | |
|
1850 N Riverside Ave Ste 180 Rialto CA 92376-8071 | |
| (818) 351-6937 | |
| Not Available |
| Full Name | Iclass Treatment Center Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1850 N Riverside Ave Ste 180, Rialto, California |
| Authorized Official Name and Position | Renaldo R. Moodie (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8183516937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iclass Treatment Center Inc. 3380 Lasierra Avenue Suite 104-730 Riverside CA 92503-6754 Ph: (909) 343-3135 | Iclass Treatment Center Inc. 1850 N Riverside Ave Ste 180 Rialto CA 92376-8071 Ph: (818) 351-6937 |
| NPI Number | 1124691365 |
|---|---|
| Provider Enumeration Date | 07/23/2021 |
| Last Update Date | 09/29/2022 |
| Certification Date | 09/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124691365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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