| 4 Winds Cultural Counseling & Wellness Center, Inc. | |
|
3742 Tibbetts St Ste 201 Riverside CA 92506-2641 | |
| (951) 458-6932 | |
| Not Available |
| Full Name | 4 Winds Cultural Counseling & Wellness Center, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3742 Tibbetts St Ste 201, Riverside, California |
| Authorized Official Name and Position | Luis Carlos Lamadrid (OWNER/FOUNDER) |
| Authorized Official Contact | 9519650619 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Winds Cultural Counseling & Wellness Center, Inc. 12536 Penske St Moreno Valley CA 92553-5207 Ph: (951) 965-0619 | 4 Winds Cultural Counseling & Wellness Center, Inc. 3742 Tibbetts St Ste 201 Riverside CA 92506-2641 Ph: (951) 458-6932 |
| NPI Number | 1346855749 |
|---|---|
| Provider Enumeration Date | 09/11/2020 |
| Last Update Date | 09/11/2020 |
| Certification Date | 09/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346855749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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