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Hope Avenue Marriage And Family Therapy INC.

Community/Behavioral Health in Colton, CA. Organization (NPI-2).

NPI number1235763574
StatusActive
Last updated in NPPESFeb 25, 2020

Details

NPI
1235763574
Entity type
Organization (NPI-2)
Legal business name
Hope Avenue Marriage And Family Therapy INC.
Organization subpart
No
Enumeration date
Feb 25, 2020
Certification date
Feb 25, 2020
Last updated
Feb 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

1400 E Cooley Dr Ste 200a
Colton, CA 92324-3939

Phone 909-295-5295 · Fax 909-295-5295

Mailing address

1400 E Cooley Dr Ste 200a
Colton, CA 92324-3939

Phone 909-295-5295 · Fax 909-295-5295

Authorized official

Anthony Shawn Carson
Owner, Ceo
9097085849

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