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Organization
THE CAROLYN E. WYLIE CENTER
Active
Organization
THE CAROLYN E. WYLIE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK XAVIER ALONSO M.A. EDS. (M.F.T. INTERN , PHSYCOTHERAPIST)
(951) 683-5193
Entity
Organization
Contact information
Practice address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
Mailing address
4164 BROCKTON AVE, RIVERSIDE, CA 92501-3400
(951) 683-5193
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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