| Payton's Place Safe Space | |
|
25055 La Mar Rd Loma Linda CA 92354-2901 | |
| (909) 435-5136 | |
| Not Available |
| Full Name | Payton's Place Safe Space |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 25055 La Mar Rd, Loma Linda, California |
| Authorized Official Name and Position | Felicia A Payton (OWNER) |
| Authorized Official Contact | 9092536816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Payton's Place Safe Space 25055 La Mar Rd Loma Linda CA 92354-2901 Ph: (909) 435-5136 | Payton's Place Safe Space 25055 La Mar Rd Loma Linda CA 92354-2901 Ph: (909) 435-5136 |
| NPI Number | 1831916840 |
|---|---|
| Provider Enumeration Date | 09/21/2024 |
| Last Update Date | 09/21/2024 |
| Certification Date | 09/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831916840 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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