Mainline Family Counseling Service Prof Corp
Community/Behavioral Health in Chino, CA. Organization (NPI-2).
NPI number1124697164
StatusActive
Last updated in NPPESMar 4, 2024
Details
- NPI
- 1124697164
- Entity type
- Organization (NPI-2)
- Legal business name
- Mainline Family Counseling Service Prof Corp
- Organization subpart
- No
- Enumeration date
- Jun 23, 2021
- Certification date
- Mar 4, 2024
- Last updated
- Mar 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
14726 Ramona Ave # E10Chino, CA 91710-5730
Phone 909-334-2824
Mailing address
14726 Ramona Ave # E10Chino, CA 91710-5730
Other practice locations
1585 S D St Ste 202
San Bernardino, CA 92408-3235
San Bernardino, CA 92408-3235
Phone 909-334-2824
Authorized official
Peter Lo
Owner
9093342824
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All 6 Community/Behavioral Health Agency providers in Chino · All 1,655 providers in Chino
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