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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
898 VIA LATA, SUITE E, COLTON, CA 92324
(909) 777-3599
(909) 777-0011
Mailing address
P.O. BOX 821, RIALTO, CA 92376
(909) 777-3599
(909) 777-0011
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
08/15/2017
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