| Mckinley- Private Pay | |
|
180 Via Verde Ste 200 San Dimas CA 91773-3993 | |
| (909) 599-1227 | |
| Not Available |
| Full Name | Mckinley- Private Pay |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 180 Via Verde Ste 200, San Dimas, California |
| Authorized Official Name and Position | Gabriela Rhodes (AVP OF COMPLIANCE) |
| Authorized Official Contact | 9095991227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckinley- Private Pay 180 Via Verde Ste 200 San Dimas CA 91773-3993 Ph: (909) 599-1227 | Mckinley- Private Pay 180 Via Verde Ste 200 San Dimas CA 91773-3993 Ph: (909) 599-1227 |
| NPI Number | 1033830153 |
|---|---|
| Provider Enumeration Date | 09/07/2022 |
| Last Update Date | 06/15/2023 |
| Certification Date | 06/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033830153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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