| The Collective | |
|
304 Tejon Pl Palos Verdes Estates CA 90274-1204 | |
| (714) 272-6282 | |
| Not Available |
| Full Name | The Collective |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 304 Tejon Pl, Palos Verdes Estates, California |
| Authorized Official Name and Position | Jeffrey N Mar (CEO) |
| Authorized Official Contact | 7142726282 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Collective 9473 Haven Ave Rancho Cucamonga CA 91730-5844 Ph: () - | The Collective 304 Tejon Pl Palos Verdes Estates CA 90274-1204 Ph: (714) 272-6282 |
| NPI Number | 1952148538 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952148538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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