Organization
IAMPURPOSE WELLNESS CENTER
Active
Other names
Dretona T. Maddox, Licensed Clinical Social Worker
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DRETONA T. MADDOX RN, PHN, LCSW (NURSE SOCIAL WORK PRACTITIONER)
(909) 471-0697
Entity
Organization
Contact information
Practice address
1410 3RD ST STE 2, RIVERSIDE, CA 92507-3454
(909) 471-0697
(951) 405-4476
Mailing address
1410 3RD ST STE 2, RIVERSIDE, CA 92507-3454
(909) 471-0697
(951) 405-4476
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/18/2020
Last updated
11/20/2020
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