Organization
ADOM TELEPSYCHIATRY AND MENTAL HEALTH SERVICES A PROFESSIONAL NUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLADYS OBENG DNP,BSN, RN, PMHNP-B (DNP)
(951) 707-7471
Entity
Organization
Contact information
Practice address
4199 FLAT ROCK DR STE 148, RIVERSIDE, CA 92505-7115
(951) 707-7471
Mailing address
PO BOX 77331, CORONA, CA 92877-0111
(951) 254-3558
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/29/2021
Last updated
01/10/2023
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