| The Makade Foundation Inc | |
|
19429 Fortunello Ave Riverside CA 92508-6140 | |
| (951) 201-1908 | |
| Not Available |
| Full Name | The Makade Foundation Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19429 Fortunello Ave, Riverside, California |
| Authorized Official Name and Position | Jorge Cervantes (CEO) |
| Authorized Official Contact | 9512011908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Makade Foundation Inc 231 E Alessandro Blvd Ste A301 Riverside CA 92508-5084 Ph: (951) 201-1908 | The Makade Foundation Inc 19429 Fortunello Ave Riverside CA 92508-6140 Ph: (951) 201-1908 |
| NPI Number | 1104759422 |
|---|---|
| Provider Enumeration Date | 06/05/2026 |
| Last Update Date | 06/05/2026 |
| Certification Date | 06/05/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104759422 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| 103K00000X | Behavior Analyst | (NU) | Secondary |
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