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Organization
COMMUNITY CENTER FOR HEALTHY MINDS (CCHM)
Active
Organization
COMMUNITY CENTER FOR HEALTHY MINDS (CCHM)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK FLOURNOY LMFT (PRESIDENT)
(951) 656-6969
Entity
Organization
Contact information
Practice address
13800 HEACOCK ST STE D139B, MORENO VALLEY, CA 92553-6276
(951) 656-6969
(951) 656-6868
Mailing address
13800 HEACOCK ST STE D139B, MORENO VALLEY, CA 92553-6276
(951) 656-6969
(951) 656-6868
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MFC20033
CA
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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