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Organization
PATH OF LIGHT, INC
Active
Organization
PATH OF LIGHT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ARTHUR GABRIEL MONTES (CHIEF EXECUTIVE OFFICER)
(818) 741-6068
Entity
Organization
Contact information
Practice address
3417 S PLAZA DR APT I, SANTA ANA, CA 92704-7259
(818) 741-6068
Mailing address
3417 S PLAZA DR APT I, SANTA ANA, CA 92704-7259
(818) 741-6068
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
24587
CA
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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