| Parents Anonymous Antelope Valley | |
|
548 W Lancaster Blvd Ste 101 Lancaster CA 93534-2551 | |
| (909) 575-4211 | |
| (909) 621-0614 |
| Full Name | Parents Anonymous Antelope Valley |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 548 W Lancaster Blvd Ste 101, Lancaster, 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 |
|---|---|
| Parents Anonymous Antelope Valley 435 Yale Ave Claremont CA 91711-4340 Ph: (909) 575-4211 | Parents Anonymous Antelope Valley 548 W Lancaster Blvd Ste 101 Lancaster CA 93534-2551 Ph: (909) 575-4211 |
| NPI Number | 1871324046 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 09/30/2024 |
| Certification Date | 09/30/2024 |
| 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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