| Prepare To Change, A Psychology Corporation | |
|
222 W Main St Ste 101 Tustin CA 92780-7711 | |
| (562) 773-3044 | |
| Not Available |
| Full Name | Prepare To Change, A Psychology Corporation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 222 W Main St Ste 101, Tustin, California |
| Authorized Official Name and Position | Kaneeza Lafir (DOCTOR/DIRECTOR) |
| Authorized Official Contact | 5627733044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prepare To Change, A Psychology Corporation 222 W Main St Ste 101 Tustin CA 92780-7711 Ph: (562) 773-3044 | Prepare To Change, A Psychology Corporation 222 W Main St Ste 101 Tustin CA 92780-7711 Ph: (562) 773-3044 |
| NPI Number | 1932679859 |
|---|---|
| Provider Enumeration Date | 12/04/2018 |
| Last Update Date | 12/04/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932679859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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