| Southland Mental Health Alliance | |
|
28364 Vincent Moraga Dr F Temecula CA 92590-3656 | |
| (951) 526-4118 | |
| (951) 602-6166 |
| Full Name | Southland Mental Health Alliance |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 28364 Vincent Moraga Dr, Temecula, California |
| Authorized Official Name and Position | Stephen Thomas Prystash (DIRECTOR) |
| Authorized Official Contact | 9515264118 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southland Mental Health Alliance 28364 Vincent Moraga Dr F Temecula CA 92590-3656 Ph: (951) 526-4118 | Southland Mental Health Alliance 28364 Vincent Moraga Dr F Temecula CA 92590-3656 Ph: (951) 526-4118 |
| NPI Number | 1306211826 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306211826 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MFC24093 (California) | Primary |
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