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Organization
SOLEIL VITALITY PSYCHOTHERAPY
Active
Organization
SOLEIL VITALITY PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARI SANTOS LCSW (CEO)
(626) 692-5954
Entity
Organization
Contact information
Practice address
9668 MILLIKEN AVE # 104-183, RANCHO CUCAMONGA, CA 91730-6137
(626) 692-5954
Mailing address
9668 MILLIKEN AVE # 104-183, RANCHO CUCAMONGA, CA 91730-6137
(626) 692-5954
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629613963
MENTAL HEALTH
CA
Enumeration date
12/20/2024
Last updated
12/22/2024
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