| Mental Health Substance Abuse | |
|
623 N Main St Ste D11 Corona CA 92880-1408 | |
| (951) 737-2962 | |
| (951) 737-2783 |
| Full Name | Mental Health Substance Abuse |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 623 N Main St Ste D11, Corona, California |
| Authorized Official Name and Position | Lupe (guadalupe) Madrigal (SUPERVISOR) |
| Authorized Official Contact | 9517372962 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Substance Abuse 623 N Main St Ste D11 Corona CA 92880-1408 Ph: (951) 737-2962 | Mental Health Substance Abuse 623 N Main St Ste D11 Corona CA 92880-1408 Ph: (951) 737-2962 |
| NPI Number | 1861715922 |
|---|---|
| Provider Enumeration Date | 03/03/2010 |
| Last Update Date | 03/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861715922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 33023DN (California) | Primary |
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