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Organization
ONC MENTAL HEALTH INC
Active
Organization
ONC MENTAL HEALTH INC
Active
Other names
Outreach Nation Corp
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIDA KHANUM (EXECUTIVE DIRECTOR)
(909) 825-8080
Entity
Organization
Contact information
Practice address
9375 ARCHIBALD AVE STE 107, RANCHO CUCAMONGA, CA 91730-5728
(909) 825-8080
(909) 360-1550
Mailing address
9375 ARCHIBALD AVE STE 107, RANCHO CUCAMONGA, CA 91730-5728
(909) 825-8080
(909) 360-1550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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