| Stella Maris Growth Center | |
|
11950 Steeplechase Dr Moreno Valley CA 92555-1750 | |
| (951) 485-6999 | |
| Not Available |
| Full Name | Stella Maris Growth Center |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11950 Steeplechase Dr, Moreno Valley, California |
| Authorized Official Name and Position | Frances Ohaeri (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9096496111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stella Maris Growth Center Po Box 1170 Moreno Valley CA 92556-1170 Ph: (909) 370-2858 | Stella Maris Growth Center 11950 Steeplechase Dr Moreno Valley CA 92555-1750 Ph: (951) 485-6999 |
| NPI Number | 1699492751 |
|---|---|
| Provider Enumeration Date | 10/20/2022 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699492751 | 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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