Wylie Center | |
22964 Pablo Nuevo CA 92567-9635 | |
(909) 286-2184 | |
Not Available |
Full Name | Wylie Center |
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Speciality | Community/behavioral Health |
Location | 22964 Pablo, Nuevo, California |
Authorized Official Name and Position | Samantha G. Lillo (SUPERVISOR) |
Authorized Official Contact | 9516835193 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wylie Center 22964 Pablo Nuevo CA 92567-9635 Ph: (909) 286-2184 | Wylie Center 22964 Pablo Nuevo CA 92567-9635 Ph: (909) 286-2184 |
NPI Number | 1568796969 |
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Provider Enumeration Date | 10/01/2009 |
Last Update Date | 10/01/2009 |
Identifier | Type | State | Issuer |
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1568796969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 25834 (California) | Primary |
Take The Rein Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30651 Lakeview Ave, Nuevo, CA 92567 Phone: 951-554-0737 |