| Wellness Ranch Equine Assisted Therapy | |
|
9721 Brilliant Ln Rancho Cucamonga CA 91737-2920 | |
| (909) 710-3055 | |
| Not Available |
| Full Name | Wellness Ranch Equine Assisted Therapy |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9721 Brilliant Ln, Rancho Cucamonga, California |
| Authorized Official Name and Position | Angelica D Manzo (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9097103055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Ranch Equine Assisted Therapy 9721 Brilliant Ln Rancho Cucamonga CA 91737-2920 Ph: (909) 710-3055 | Wellness Ranch Equine Assisted Therapy 9721 Brilliant Ln Rancho Cucamonga CA 91737-2920 Ph: (909) 710-3055 |
| NPI Number | 1619712726 |
|---|---|
| Provider Enumeration Date | 06/28/2024 |
| Last Update Date | 06/28/2024 |
| Certification Date | 06/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619712726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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