I Choose Life Addiction Specialist

NPI 1124419379 - Case Management - 251B00000X

NPI Details
NPI 1124419379
Enumeration Date 02/10/2015
Last Updated 02/10/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name RENALDO ROLANDO RENALDO
Position CLINICAL THERAPIST
Phone (951) 339-8443
Fax (951) 339-8443
Practice Location
425 E 6TH ST
UNIT 201
CORONA CA, 92879-1566, US
Phone (951) 339-8443
Fax (951) 339-8443
Business Location
3380 LA SIERRA AVE
SUITE 104-730
RIVERSIDE CA, 92503-5271, US
Phone (951) 339-8443
Fax (951) 339-8443
Toxanomy
Taxonomy Code 251B00000X
License State
License Number
Remove 1124419379 NPI Number
 

According to our database, I Choose Life Addiction Specialist NPI is 1124419379, taxonomy code is 251B00000X I Choose Life Addiction Specialist physically located at 425 E 6th St, Corona CA, 92879-1566. NPI Number 1033115704 has the healthcare provider type.

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1124419379 NPI number is provided on an as is basis without warranty of any kind. 1124419379 is maintained by the National Plan & Provider Enumeration System. The contents of I Choose Life Addiction Specialist are for informational purposes only.