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Organization
HIGH DESERT JUVENILE DETENTION AND ASSESSMENT CENTER
Active
Organization
HIGH DESERT JUVENILE DETENTION AND ASSESSMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYLENE ROBINSON MFT (CLINICAL SUPERVISOR)
(760) 961-7613
Entity
Organization
Contact information
Practice address
21101 DALE EVANS PKWY, APPLE VALLEY, CA 92307-9356
(760) 961-6718
(760) 961-6717
Mailing address
21101 DALE EVANS PKWY, APPLE VALLEY, CA 92307-9356
(760) 961-6718
(760) 961-6717
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF 47669
CA
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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