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Organization
REAL CONNECTIONS CHILD DEVELOPMENT INSTITUTE
Active
Organization
REAL CONNECTIONS CHILD DEVELOPMENT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEN DAVID ZEQUEIRA-RUSSELL PSY.D. (CEO)
(626) 358-1564
Entity
Organization
Contact information
Practice address
140 E COLORADO BLVD STE D, MONROVIA, CA 91016-5145
(626) 358-1564
(626) 358-1641
Mailing address
140 E COLORADO BLVD STE D, MONROVIA, CA 91016-5145
(626) 358-1564
(626) 358-1641
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PSY19727
CA
Other
Enumeration date
05/02/2012
Last updated
05/02/2012
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