| Shirley S House Of Therapy Corporation | |
|
42750 Moraga Rd Apt 103 Temecula CA 92591-6700 | |
| (310) 227-7298 | |
| Not Available |
| Full Name | Shirley S House Of Therapy Corporation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 42750 Moraga Rd Apt 103, Temecula, California |
| Authorized Official Name and Position | Jehrel Bruno (OWNER) |
| Authorized Official Contact | 3102277298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirley S House Of Therapy Corporation 42750 Moraga Rd Apt 103 Temecula CA 92591-6700 Ph: (310) 227-7298 | Shirley S House Of Therapy Corporation 42750 Moraga Rd Apt 103 Temecula CA 92591-6700 Ph: (310) 227-7298 |
| NPI Number | 1528775889 |
|---|---|
| Provider Enumeration Date | 11/04/2022 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528775889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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