Organization
DEPARTMENT OF BEHAVIOR HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MONIQUE ESPINOZA (PEER AND FAMILY ADVOCATE II)
(909) 421-9495
Entity
Organization
Contact information
Practice address
418 E MARIPOSA DR, RIALTO, CA 92376-3624
(909) 421-9495
Mailing address
418 E MARIPOSA DR, RIALTO, CA 92376-3624
(909) 421-9495
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/16/2016
Last updated
11/16/2016
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