A Coming Of Age Ffa
Peer Specialist in Riverside, CA. Organization (NPI-2).
NPI number1295602704
StatusActive
Last updated in NPPESOct 20, 2025
Details
- NPI
- 1295602704
- Entity type
- Organization (NPI-2)
- Legal business name
- A Coming Of Age Ffa
- Organization subpart
- No
- Enumeration date
- Oct 20, 2025
- Certification date
- Oct 20, 2025
- Last updated
- Oct 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
7899 Mission Grove Pkwy S Ste ARiverside, CA 92508-5062
Phone 951-723-0671
Mailing address
7899 Mission Grove Pkwy S Ste ARiverside, CA 92508-5062
Phone 951-776-9223
Authorized official
Braylin Jerell Dodson
Certified Peer Support Specialist
9517230671
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