Therapy Mission | |
554 E Foothill Blvd Ste 106 San Dimas CA 91773-1222 | |
(626) 714-0011 | |
Not Available |
Full Name | Therapy Mission |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 554 E Foothill Blvd Ste 106, San Dimas, California |
Authorized Official Name and Position | Reina Avila (CEO) |
Authorized Official Contact | 6267140011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Therapy Mission 554 E Foothill Blvd Ste 106 San Dimas CA 91773-1222 Ph: (626) 714-0011 | Therapy Mission 554 E Foothill Blvd Ste 106 San Dimas CA 91773-1222 Ph: (626) 714-0011 |
NPI Number | 1346992500 |
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Provider Enumeration Date | 01/19/2022 |
Last Update Date | 08/09/2023 |
Certification Date | 08/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346992500 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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