| Rooted Empowerment Collective | |
|
1338 Center Court Dr Ste 107 Covina CA 91724-3681 | |
| (626) 275-8185 | |
| Not Available |
| Full Name | Rooted Empowerment Collective |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1338 Center Court Dr Ste 107, Covina, California |
| Authorized Official Name and Position | Joan Mendoza (OWNER) |
| Authorized Official Contact | 3235333837 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Empowerment Collective 1338 Center Court Dr Ste 107 Covina CA 91724-3681 Ph: (626) 275-8185 | Rooted Empowerment Collective 1338 Center Court Dr Ste 107 Covina CA 91724-3681 Ph: (626) 275-8185 |
| NPI Number | 1851044903 |
|---|---|
| Provider Enumeration Date | 01/29/2022 |
| Last Update Date | 01/29/2022 |
| Certification Date | 01/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851044903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
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