Wylie Center

NPI 1568796969 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1568796969
Enumeration Date 10/01/2009
Last Updated 10/01/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SAMANTHA G. SAMANTHA
Position SUPERVISOR
Phone (909) 286-2184
Fax
Practice Location
22964 PABLO
NUEVO CA, 92567-9635, US
Phone (909) 286-2184
Fax
Business Location
22964 PABLO
NUEVO CA, 92567-9635, US
Phone (909) 286-2184
Fax
Toxanomy
Taxonomy Code 251S00000X
License State California
License Number 25834
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According to our database, Wylie Center NPI is 1568796969, taxonomy code is 251S00000X and license number is 25834, license state is located at California. Wylie Center physically located at 22964 Pablo, Nuevo CA, 92567-9635. NPI Number 1033115704 has the healthcare provider type.

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1568796969 NPI number is provided on an as is basis without warranty of any kind. 1568796969 is maintained by the National Plan & Provider Enumeration System. The contents of Wylie Center are for informational purposes only.