| Village Mental Health Group Llc | |
|
11755 Malaga Dr Unit 1242 Rancho Cucamonga CA 91730-8133 | |
| (951) 801-9387 | |
| Not Available |
| Full Name | Village Mental Health Group Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 11755 Malaga Dr Unit 1242, Rancho Cucamonga, California |
| Authorized Official Name and Position | Tanisha Simpson (MEMBER) |
| Authorized Official Contact | 3106863884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Mental Health Group Llc 11755 Malaga Dr Unit 1242 Rancho Cucamonga CA 91730-8133 Ph: () - | Village Mental Health Group Llc 11755 Malaga Dr Unit 1242 Rancho Cucamonga CA 91730-8133 Ph: (951) 801-9387 |
| NPI Number | 1447859020 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Certification Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447859020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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