| Active Behavioral Care | |
|
816 S Citrus St West Covina CA 91791-3352 | |
| (626) 494-9744 | |
| Not Available |
| Full Name | Active Behavioral Care |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 816 S Citrus St, West Covina, California |
| Authorized Official Name and Position | Ricardo Rojas (FOUNDER) |
| Authorized Official Contact | 6264949744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Behavioral Care 816 S Citrus St West Covina CA 91791-3352 Ph: (626) 494-9744 | Active Behavioral Care 816 S Citrus St West Covina CA 91791-3352 Ph: (626) 494-9744 |
| NPI Number | 1598485765 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598485765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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