| Outreach Nation, Corp | |
|
9565 Business Center Dr Ste A Rancho Cucamonga CA 91730-4560 | |
| (909) 825-8080 | |
| Not Available |
| Full Name | Outreach Nation, Corp |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9565 Business Center Dr Ste A, Rancho Cucamonga, California |
| Authorized Official Name and Position | Khalida Khanum (PROGRAM DIRECTOR) |
| Authorized Official Contact | 9098258080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Outreach Nation, Corp 9565 Business Center Dr Bldg 11 Suite A Rancho Cucamonga CA 91730 Ph: (909) 825-8080 | Outreach Nation, Corp 9565 Business Center Dr Ste A Rancho Cucamonga CA 91730-4560 Ph: (909) 825-8080 |
| NPI Number | 1457800385 |
|---|---|
| Provider Enumeration Date | 10/04/2016 |
| Last Update Date | 10/04/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457800385 | NPI | - | NPPES |
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