| Sisters Of Soul (sos) Youth And Family | |
|
937 Via Lata Ste 400 Colton CA 92324-3958 | |
| (909) 533-4889 | |
| Not Available |
| Full Name | Sisters Of Soul (sos) Youth And Family |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 937 Via Lata Ste 400, Colton, California |
| Authorized Official Name and Position | Angela Beal (CEO) |
| Authorized Official Contact | 9095334889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisters Of Soul (sos) Youth And Family 937 Via Lata Ste 400 Colton CA 92324-3958 Ph: (909) 533-4889 | Sisters Of Soul (sos) Youth And Family 937 Via Lata Ste 400 Colton CA 92324-3958 Ph: (909) 533-4889 |
| NPI Number | 1548719644 |
|---|---|
| Provider Enumeration Date | 09/29/2016 |
| Last Update Date | 09/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548719644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 29356 (California) | Primary |
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