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Organization
ICLASS TREATMENT CENTER INC.
Active
Organization
ICLASS TREATMENT CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENALDO R. MOODIE JR. LMFT (CLINICAL DIRECTOR)
(818) 351-6937
Entity
Organization
Contact information
Practice address
1850 N RIVERSIDE AVE STE 180, RIALTO, CA 92376-8071
(818) 351-6937
Mailing address
3380 LASIERRA AVENUE, SUITE 104-730, RIVERSIDE, CA 92503-6754
(909) 343-3135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
07/23/2021
Last updated
09/29/2022
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