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Organization
COLLECTIVE CENTRE OF PSYCHOLOGY, INC.
Active
Organization
COLLECTIVE CENTRE OF PSYCHOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEKE MARCUS PSYD (PRESIDENT)
(949) 354-4147
Entity
Organization
Contact information
Practice address
27201 PUERTA REAL STE 300, MISSION VIEJO, CA 92691-8590
(949) 354-4147
Mailing address
23986 ALISO CREEK RD STE 325, LAGUNA NIGUEL, CA 92677-3908
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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