| Youthful Creations And Interventions | |
|
3667 N Plum Tree Ave Rialto CA 92377-2701 | |
| (909) 543-9974 | |
| Not Available |
| Full Name | Youthful Creations And Interventions |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 3667 N Plum Tree Ave, Rialto, California |
| Authorized Official Name and Position | Terry D Roseborough (OWNER) |
| Authorized Official Contact | 9095439974 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youthful Creations And Interventions 3667 N Plum Tree Ave Rialto CA 92377-2701 Ph: (909) 543-9974 | Youthful Creations And Interventions 3667 N Plum Tree Ave Rialto CA 92377-2701 Ph: (909) 543-9974 |
| NPI Number | 1013613058 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 07/10/2023 |
| Certification Date | 07/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013613058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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