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Organization

BETTER LIFE THERAPY, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA MARIE REAL (OWNER)
(661) 713-3532
Entity
Organization

Contact information

Practice address
9520 ESCONDIDO CANYON RD, SANTA CLARITA, CA 91390-4811
(661) 713-3532
(661) 268-8007
Mailing address
9520 ESCONDIDO CANYON RD, SANTA CLARITA, CA 91390-4811
(661) 713-3532
(661) 268-8007

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
A106346
CA
251S00000X
Community/Behavioral Health Agency
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
05/03/2018
Last updated
05/03/2018
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