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Organization

ANGEL OF FAITH NON PROFIT ORGANIZATION

Active
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Organization

ANGEL OF FAITH NON PROFIT ORGANIZATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LUIS ALBERTO CRUZ (PRESIDENT/EXECUTIVE DIRECTOR)
(951) 500-2774
Entity
Organization

Contact information

Practice address
21535 PALOMAR ST, SUITE B, WILDOMAR, CA 92595-7767
(951) 500-2774
(951) 358-0762
Mailing address
4996 LA SIERRA AVE, RIVERSIDE, CA 92505-2612
(951) 500-2774
(951) 358-0762

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—

Other

Enumeration date
01/29/2013
Last updated
01/29/2013
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