| Innroads - Western Mountains/morongo Basin | |
|
63665 29 Palms Hwy Joshua Tree CA 92252-6613 | |
| (760) 366-4175 | |
| Not Available |
| Full Name | Innroads - Western Mountains/morongo Basin |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 63665 29 Palms Hwy, Joshua Tree, California |
| Authorized Official Name and Position | Erica Porteous (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9093880879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innroads - Western Mountains/morongo Basin 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0900 | Innroads - Western Mountains/morongo Basin 63665 29 Palms Hwy Joshua Tree CA 92252-6613 Ph: (760) 366-4175 |
| NPI Number | 1306495627 |
|---|---|
| Provider Enumeration Date | 09/09/2019 |
| Last Update Date | 09/10/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306495627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Liminal Path Creative Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 64757 Learco Way, Joshua Tree, CA 92252 Phone: 442-400-9195 |