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Organization
YOUNG VISIONARIES YOUTH LEADERSHIP ACADEMY
Active
Organization
YOUNG VISIONARIES YOUTH LEADERSHIP ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE STONE (CEO)
(909) 881-3382
Entity
Organization
Contact information
Practice address
1616 N D ST, SAN BERNARDINO, CA 92405-4404
(909) 881-3332
(909) 881-3385
Mailing address
1616 N D ST, SAN BERNARDINO, CA 92405-4404
(909) 881-3332
(909) 881-3385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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