Organization
GREEN FAMILY THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRIA GREEN (DIRECTOR)
(909) 333-6067
Entity
Organization
Contact information
Practice address
11433 MOUNTAIN VIEW DR UNIT 20, RANCHO CUCAMONGA, CA 91730-8347
(909) 333-6067
Mailing address
11433 MOUNTAIN VIEW DR UNIT 20, RANCHO CUCAMONGA, CA 91730-8347
(909) 333-6067
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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