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Organization
P.H.I.L.O.S.ADOLESCENT TREATMENT CENTERS, INC.
Active
Organization
P.H.I.L.O.S.ADOLESCENT TREATMENT CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R YBARRA SR. (ADMINISTRATIVE DIRECTOR)
(909) 777-3599
Entity
Organization
Contact information
Practice address
3872 CARTHAGE ST, RIVERSIDE, CA 92501-2102
(909) 777-3599
(909) 777-0011
Mailing address
PO BOX 821, RIALTO, CA 92377-0821
(909) 777-3599
(909) 777-0011
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
05/07/2020
Last updated
06/19/2020
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