Radical Transformation Inc | |
1220 Oak Street Suite J #1060 Mobile CA 93304 | |
(424) 235-0566 | |
Not Available |
Full Name | Radical Transformation Inc |
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Speciality | Counselor - Mental Health |
Location | 1220 Oak Street, Mobile, California |
Authorized Official Name and Position | Candice Joy Muhammad (PRESIDENT/CEO) |
Authorized Official Contact | 4242350566 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Radical Transformation Inc 1220 Oak Street Suite J #1060 Mobile CA 93304 Ph: (424) 235-0566 | Radical Transformation Inc 1220 Oak Street Suite J #1060 Mobile CA 93304 Ph: (424) 235-0566 |
NPI Number | 1598649782 |
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Provider Enumeration Date | 08/01/2025 |
Last Update Date | 08/01/2025 |
Certification Date | 07/25/2025 |
Identifier | Type | State | Issuer |
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1598649782 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |