Organization
MAINLINE FAMILY COUNSELING SERVICE PROF CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER LO (OWNER)
(909) 334-2824
Entity
Organization
Contact information
Practice address
14726 RAMONA AVE # E10, CHINO, CA 91710-5730
(909) 334-2824
Mailing address
14726 RAMONA AVE # E10, CHINO, CA 91710-5730
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/23/2021
Last updated
03/04/2024
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