Organization · NPI-2
Sigma Beta Xi INC.
Community/Behavioral Health · Moreno Valley, CA
NPI number1780120436
StatusActive
Last updated in NPPESJan 18, 2017
Details
- NPI
- 1780120436
- Entity type
- Organization (NPI-2)
- Legal business name
- Sigma Beta Xi INC.
- Organization subpart
- No
- Enumeration date
- Jan 18, 2017
- Last updated
- Jan 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 252Y00000X | Early Intervention Provider Agency | – | – |
Practice location
14340 Elsworth StB112/113
Moreno Valley, CA 92553-9019
Phone 951-247-1700
Mailing address
14340 Elsworth StB112/113
Moreno Valley, CA 92553-9019
Phone 951-247-1700
Authorized official
Corey Jackson
Ceo
9512471700
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