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Organization
PROFESSIONAL ASSESSMENT AND TREATMENT SERVICES
Active
Organization
PROFESSIONAL ASSESSMENT AND TREATMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AURELIO J ENRIQUEZ JR. LCSW, PSYD (OWNER)
(626) 665-7354
Entity
Organization
Contact information
Practice address
12204 N MAINSTREET, #1, RANCHO CUCAMONGA, CA 91739-8691
(626) 665-7354
(909) 803-0384
Mailing address
12204 N MAINSTREET, #1, RANCHO CUCAMONGA, CA 91739-8691
(626) 665-7354
(909) 803-0384
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCS 24862
CA
Other
Enumeration date
03/18/2010
Last updated
03/18/2010
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