Organization
AENEAS TREATMENT & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASHANA LEWIS NP (CEO)
(909) 570-1172
Entity
Organization
Contact information
Practice address
301 9TH ST STE 100-144, REDLANDS, CA 92374-4412
(909) 570-1172
Mailing address
301 9TH ST STE 100-144, REDLANDS, CA 92374-4412
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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