Buchanan Family Foundation
Marriage & Family Therapist in Riverside, CA. Organization (NPI-2).
NPI number1164029799
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1164029799
- Entity type
- Organization (NPI-2)
- Legal business name
- Buchanan Family Foundation
- Organization subpart
- No
- Enumeration date
- Oct 6, 2020
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | – | – | Yes |
Practice location
1410 3rd St Ste 12Riverside, CA 92507-3422
Phone 951-274-0090
Mailing address
1410 3rd St Ste 12Riverside, CA 92507-3422
Authorized official
Ilese Buchanan
Chief Executive Officer
9494396632
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