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38345 30th St E Ste C2 Palmdale CA 93550-4982 | |
| (909) 575-4211 | |
| (909) 621-0614 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 38345 30th St E Ste C2, Palmdale, California |
| Authorized Official Name and Position | Lisa Pion-berlin (PRESIDENT & CEO) |
| Authorized Official Contact | 9095754211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
435 Yale Ave Claremont CA 91711-4340 Ph: (909) 575-4211 | 38345 30th St E Ste C2 Palmdale CA 93550-4982 Ph: (909) 575-4211 |
| NPI Number | 1871324046 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871324046 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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