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Organization
GUIDING LIGHT HOME FOR BOYS, INC
Active
Organization
GUIDING LIGHT HOME FOR BOYS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUGELLA WEAVER THOMAS (PROGRAM DIRECTOR)
(951) 775-3748
Entity
Organization
Contact information
Practice address
26624 SAFFRON CIR, MORENO VALLEY, CA 92555-3834
(951) 775-3748
Mailing address
25123 MIDDLEBROOK WAY, MORENO VALLEY, CA 92551-9204
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
06/17/2019
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