| Therapeutic Alliance Project (tap) | |
|
850 E Foothill Blvd Rialto CA 92376-5230 | |
| (909) 382-3080 | |
| (909) 382-3105 |
| Full Name | Therapeutic Alliance Project (tap) |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 850 E Foothill Blvd, Rialto, California |
| Authorized Official Name and Position | Erica Porteous (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9093880882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapeutic Alliance Project (tap) 303 E Vanderbilt Way San Bernardino CA 92415-0001 Ph: (909) 388-0801 | Therapeutic Alliance Project (tap) 850 E Foothill Blvd Rialto CA 92376-5230 Ph: (909) 382-3080 |
| NPI Number | 1417166596 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 06/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417166596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | ZZZ74743Z (California) | Primary |
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