Organization
CLOVERLEAF BEHAVIORAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOLIDA MEKPONGSATORN BCBA (PRESIDENT)
(626) 826-8800
Entity
Organization
Contact information
Practice address
429 S PALM AVE, ALHAMBRA, CA 91803-1422
(626) 826-8800
Mailing address
506 S. PALM AVE., ALHAMBRA, CA 91803
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1-11-8248
FL
Other
Enumeration date
09/27/2013
Last updated
09/27/2013
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