| Phoenix Therapy | |
|
12530 10th St Ste D Chino CA 91710-3520 | |
| (714) 473-1043 | |
| Not Available |
| Full Name | Phoenix Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 12530 10th St Ste D, Chino, California |
| Authorized Official Name and Position | Kristen M White (OWNER) |
| Authorized Official Contact | 7144731043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Therapy 12530 10th St Ste D Chino CA 91710-3520 Ph: (714) 473-1043 | Phoenix Therapy 12530 10th St Ste D Chino CA 91710-3520 Ph: (714) 473-1043 |
| NPI Number | 1235581240 |
|---|---|
| Provider Enumeration Date | 07/01/2016 |
| Last Update Date | 07/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235581240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY24744 (California) | Primary |
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