| P.h.i.l.o.s.adolescent Treatment Centers, Inc. | |
|
3872 Carthage St Riverside CA 92501-2102 | |
| (909) 777-3599 | |
| (909) 777-0011 |
| Full Name | P.h.i.l.o.s.adolescent Treatment Centers, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 3872 Carthage St, Riverside, California |
| Authorized Official Name and Position | Thomas R Ybarra (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 9097773599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| P.h.i.l.o.s.adolescent Treatment Centers, Inc. Po Box 821 Rialto CA 92377-0821 Ph: (909) 777-3599 | P.h.i.l.o.s.adolescent Treatment Centers, Inc. 3872 Carthage St Riverside CA 92501-2102 Ph: (909) 777-3599 |
| NPI Number | 1538781042 |
|---|---|
| Provider Enumeration Date | 05/07/2020 |
| Last Update Date | 06/19/2020 |
| Certification Date | 06/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538781042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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