Organization
WHOLISTIC FAMILY THERAPY & WELLNESS CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE A. CARSON LMFT (CEO)
(909) 364-1104
Entity
Organization
Contact information
Practice address
11780 CENTRAL AVE STE 115, CHINO, CA 91710-8626
(909) 364-1104
Mailing address
11780 CENTRAL AVE STE 115, CHINO, CA 91710-8626
(909) 364-1104
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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