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Organization
READY 4 CHANGE, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Organization
READY 4 CHANGE, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Active
Other names
Ready 4 Change
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE ROACH LCSW (AUTHORIZED REPRESENTATIVE)
(909) 581-4854
Entity
Organization
Contact information
Practice address
325 W HOSPITALITY LN STE 110, SAN BERNARDINO, CA 92408-3210
(909) 581-4854
Mailing address
25920 IRIS AVE, STE 13A #209, MORENO VALLEY, CA 92551-1658
(909) 581-4854
(951) 405-6454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
02/26/2023
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