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Organization
BETHANY'S GAIT INC.
Active
Organization
BETHANY'S GAIT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTI SILVERBERG-ROSE (EXECUTIVE DIRECTOR)
(714) 318-3498
Entity
Organization
Contact information
Practice address
27252 CALLE ARROYO, SAN JUAN CAPISTRANO, CA 92675-2745
(714) 318-3498
Mailing address
27762 ANTONIO PKWY # L1-464, LADERA RANCH, CA 92694-1140
(714) 318-3498
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/06/2010
Last updated
08/14/2012
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