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Organization
AVANT GARDE COMMUNITY COUNSELING CENTER
Active
Organization
AVANT GARDE COMMUNITY COUNSELING CENTER
Active
Other names
Avant Garde Foster Family Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ESTRAVIT (CEO)
(951) 735-5300
Entity
Organization
Contact information
Practice address
1655 E 6TH ST, SUITE A 4-C, CORONA, CA 92879-1732
(951) 735-5300
(951) 735-9335
Mailing address
1655 E 6TH ST, SUITE A 4-D, CORONA, CA 92879-1732
(951) 735-5300
(951) 735-9335
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C2552459
BUSINESS LICENSE
CA
Enumeration date
03/10/2014
Last updated
12/02/2014
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