| Angel Of Faith Non Profit Organization | |
|
4996 La Sierra Ave Riverside CA 92505-2612 | |
| (951) 500-2774 | |
| (951) 358-0762 |
| Full Name | Angel Of Faith Non Profit Organization |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4996 La Sierra Ave, Riverside, California |
| Authorized Official Name and Position | Luis Alberto Cruz (PRESIDENT/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9515002774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Angel Of Faith Non Profit Organization 4996 La Sierra Ave Riverside CA 92505-2612 Ph: (951) 500-2774 | Angel Of Faith Non Profit Organization 4996 La Sierra Ave Riverside CA 92505-2612 Ph: (951) 500-2774 |
| NPI Number | 1003110982 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 02/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003110982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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