| Therapy Mission | |
|
554 E Foothill Blvd Ste 106 San Dimas CA 91773-1222 | |
| (626) 714-0011 | |
| Not Available |
| Full Name | Therapy Mission |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 554 E Foothill Blvd Ste 106, San Dimas, California |
| Authorized Official Name and Position | Reina Avila (CEO) |
| Authorized Official Contact | 6267140011 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Mission 554 E Foothill Blvd Ste 106 San Dimas CA 91773-1222 Ph: (626) 714-0011 | Therapy Mission 554 E Foothill Blvd Ste 106 San Dimas CA 91773-1222 Ph: (626) 714-0011 |
| NPI Number | 1346992500 |
|---|---|
| Provider Enumeration Date | 01/19/2022 |
| Last Update Date | 08/09/2023 |
| Certification Date | 08/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346992500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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