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Organization
HIGH DESERT JUVENILE DETENTION AND ASSESSMENT CENTER
Active
Organization
HIGH DESERT JUVENILE DETENTION AND ASSESSMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYLENE ROBINSON MFT (CLINIC SUPERVISOR)
(760) 961-6713
Entity
Organization
Contact information
Practice address
21101 DALE EVANS PKWY, APPLE VALLEY, CA 92307-9356
(760) 961-6766
(760) 961-6717
Mailing address
21101 DALE EVANS PKWY, APPLE VALLEY, CA 92307-9356
(760) 961-6766
(760) 961-6717
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
ASW 17034
CA
Other
Enumeration date
03/09/2007
Last updated
08/22/2020
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