| Adrimar Practice Licensed Clinical Social Worker Pc | |
|
9431 Haven Ave Ste 232 Rancho Cucamonga CA 91730-5883 | |
| (909) 999-3957 | |
| (844) 444-0212 |
| Full Name | Adrimar Practice Licensed Clinical Social Worker Pc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 9431 Haven Ave Ste 232, Rancho Cucamonga, California |
| Authorized Official Name and Position | Maritza Bojorquez Navarrete (CEO) |
| Authorized Official Contact | 6263846940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrimar Practice Licensed Clinical Social Worker Pc Po Box 3411 Rancho Cucamonga CA 91729-3411 Ph: (909) 999-3957 | Adrimar Practice Licensed Clinical Social Worker Pc 9431 Haven Ave Ste 232 Rancho Cucamonga CA 91730-5883 Ph: (909) 999-3957 |
| NPI Number | 1306736525 |
|---|---|
| Provider Enumeration Date | 07/08/2025 |
| Last Update Date | 07/10/2025 |
| Certification Date | 07/10/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306736525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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