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Collective Centre Of Psychology, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center) in Mission Viejo, CA. Organization (NPI-2).

NPI number1437664539
StatusActive
Last updated in NPPESDec 12, 2017

Details

NPI
1437664539
Entity type
Organization (NPI-2)
Legal business name
Collective Centre Of Psychology, INC.
Organization subpart
No
Enumeration date
Dec 12, 2017
Last updated
Dec 12, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

27201 Puerta Real Ste 300
Mission Viejo, CA 92691-8590

Phone 949-354-4147

Mailing address

23986 Aliso Creek Rd Ste 325
Laguna Niguel, CA 92677-3908

Authorized official

Deke Marcus
President
9493544147

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