# NEOGENESIS CARE FAMILY THERAPY PROF COR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861345118
- **Authorized official:** A CHAUDHRY (CM)
- **Authorized official phone:** (424) 540-0481

## Contact information

- **Practice address:** 20236 BREEZE BLOOMS DR, RIVERSIDE, CA 92507-1477
- **Practice address phone:** (951) 904-0658
- **Mailing address:** 20236 BREEZE BLOOMS DR, RIVERSIDE, CA 92507-1477

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2026
- **Last updated:** 02/25/2026