| Wylie Center | |
|
22964 Pablo Nuevo CA 92567-9635 | |
| (909) 286-2184 | |
| Not Available |
| Full Name | Wylie Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 22964 Pablo, Nuevo, California |
| Authorized Official Name and Position | Samantha G. Lillo (SUPERVISOR) |
| Authorized Official Contact | 9516835193 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wylie Center 22964 Pablo Nuevo CA 92567-9635 Ph: (909) 286-2184 | Wylie Center 22964 Pablo Nuevo CA 92567-9635 Ph: (909) 286-2184 |
| NPI Number | 1568796969 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 10/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568796969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 25834 (California) | Primary |
Andrea Guerrero A Licensed Marriage & Family Therapist, Professional C Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30651 Lakeview Ave, Nuevo, CA 92567 Phone: 951-554-0737 |