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Organization
ORANGE TREE THERAPEUTIC ALLIANCE, A LCSW CORPORATION
Active
Organization
ORANGE TREE THERAPEUTIC ALLIANCE, A LCSW CORPORATION
Active
Other names
Orange Tree Therapeutic Alliance / OTTA Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TROY DONAVON BRADLEY II MSW, LCSW (CO-FOUNDER/ PRESIDENT)
(951) 521-0802
Entity
Organization
Contact information
Practice address
11801 PIERCE ST STE 200, RIVERSIDE, CA 92505-4400
(951) 521-0802
Mailing address
11801 PIERCE ST STE 200, RIVERSIDE, CA 92505-4400
(951) 521-0802
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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