| Molding Hearts Org | |
|
6805 Prescott Ave Yucca Valley CA 92284-5914 | |
| (951) 464-8587 | |
| Not Available |
| Full Name | Molding Hearts Org |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6805 Prescott Ave, Yucca Valley, California |
| Authorized Official Name and Position | Lakita T Johnson (CEO) |
| Authorized Official Contact | 9514648587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Molding Hearts Org 6805 Prescott Ave Yucca Valley CA 92284-5914 Ph: (951) 464-8587 | Molding Hearts Org 6805 Prescott Ave Yucca Valley CA 92284-5914 Ph: (951) 464-8587 |
| NPI Number | 1306689682 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 06/14/2024 |
| Certification Date | 06/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306689682 | NPI | - | NPPES |
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