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Organization
SALT OF THE EARTH BEHAVIORAL LLC
Active
Organization
SALT OF THE EARTH BEHAVIORAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH DURAN (CLINICAL DIRECTOR)
(909) 813-3545
Entity
Organization
Contact information
Practice address
14080 GRAHAM STREET, MORENO VALLEY, CA 92553
(909) 813-3545
Mailing address
1235 SQUAW VALLEY ST, HEMET, CA 92545-6214
(909) 813-3545
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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