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Organization

CREATING CONVERSATIONS LIBERATING MINDS

Active
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Organization

CREATING CONVERSATIONS LIBERATING MINDS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NIEDHA WELCH PSYD (CEO)
(661) 492-7061
Entity
Organization

Contact information

Practice address
1966 ALSACE CT, SAN JACINTO, CA 92583-5827
(661) 492-7061
Mailing address
1966 ALSACE CT, SAN JACINTO, CA 92583-5827

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
252Y00000X
Early Intervention Provider Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
04/05/2023
Last updated
04/05/2023
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