| Salt Of The Earth Behavioral Llc | |
|
14080 Graham Street Moreno Valley CA 92553 | |
| (909) 813-3545 | |
| Not Available |
| Full Name | Salt Of The Earth Behavioral Llc |
|---|---|
| Speciality | Home Health |
| Location | 14080 Graham Street, Moreno Valley, California |
| Authorized Official Name and Position | Judith Duran (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9098133545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Salt Of The Earth Behavioral Llc 1235 Squaw Valley St Hemet CA 92545-6214 Ph: (909) 813-3545 | Salt Of The Earth Behavioral Llc 14080 Graham Street Moreno Valley CA 92553 Ph: (909) 813-3545 |
| NPI Number | 1457184376 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 08/26/2024 |
| Certification Date | 08/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457184376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | (* (Not Available)) | Secondary |
| 251E00000X | Home Health | (* (Not Available)) | Primary |
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