Adom Telepsychiatry And Mental Health Services A Professional Nur
Clinic/Center, Mental Health (Including Community Mental Health Center) in Riverside, CA. Organization (NPI-2).
NPI number1003407388
StatusActive
Last updated in NPPESJan 10, 2023
Details
- NPI
- 1003407388
- Entity type
- Organization (NPI-2)
- Legal business name
- Adom Telepsychiatry And Mental Health Services A Professional Nur
- Organization subpart
- No
- Enumeration date
- Jan 29, 2021
- Certification date
- Jan 10, 2023
- Last updated
- Jan 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
4199 Flat Rock Dr Ste 148Riverside, CA 92505-7115
Phone 951-707-7471
Mailing address
Po Box 77331Corona, CA 92877-0111
Phone 951-254-3558
Other practice locations
8350 Archibald Ave Ste 110
Rancho Cucamonga, CA 91730-3670
Rancho Cucamonga, CA 91730-3670
Phone 951-254-3558
Authorized official
Gladys Obeng
Dnp
9517077471
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