| Into The Light Llc | |
|
101 E Redlands Blvd Ste 275 Redlands CA 92373-4721 | |
| (855) 984-1788 | |
| (909) 335-2804 |
| Full Name | Into The Light Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 101 E Redlands Blvd Ste 275, Redlands, California |
| Authorized Official Name and Position | Ronald E Honn (PROGRAM ADMINISTRATOR) |
| Authorized Official Contact | 8559841788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Into The Light Llc 101 E Redlands Blvd Ste 200 Redlands CA 92373-4724 Ph: (855) 984-1788 | Into The Light Llc 101 E Redlands Blvd Ste 275 Redlands CA 92373-4721 Ph: (855) 984-1788 |
| NPI Number | 1770361065 |
|---|---|
| Provider Enumeration Date | 09/18/2023 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770361065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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