| Impact Centers For Excellence Llc | |
|
382 N Lemon Ave Ste 477 Walnut CA 91789-2344 | |
| (909) 638-1537 | |
| Not Available |
| Full Name | Impact Centers For Excellence Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 382 N Lemon Ave Ste 477, Walnut, California |
| Authorized Official Name and Position | Brittany Gonzalez (BCBA) |
| Authorized Official Contact | 9096381537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impact Centers For Excellence Llc 382 N Lemon Ave Ste 477 Walnut CA 91789-2344 Ph: () - | Impact Centers For Excellence Llc 382 N Lemon Ave Ste 477 Walnut CA 91789-2344 Ph: (909) 638-1537 |
| NPI Number | 1447067954 |
|---|---|
| Provider Enumeration Date | 12/17/2024 |
| Last Update Date | 12/17/2024 |
| Certification Date | 12/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447067954 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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