| Iem Collaborative Consulting L.l.c. | |
|
3820 Peridot Ct Perris CA 92570-7287 | |
| (951) 956-4265 | |
| Not Available |
| Full Name | Iem Collaborative Consulting L.l.c. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3820 Peridot Ct, Perris, California |
| Authorized Official Name and Position | Timiza Farley (OWNER) |
| Authorized Official Contact | 9513219971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iem Collaborative Consulting L.l.c. 3820 Peridot Ct Perris CA 92570-7287 Ph: (951) 956-4265 | Iem Collaborative Consulting L.l.c. 3820 Peridot Ct Perris CA 92570-7287 Ph: (951) 956-4265 |
| NPI Number | 1912602780 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912602780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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