Organization
A COMING OF AGE FFA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAYLIN JERELL DODSON (CERTIFIED PEER SUPPORT SPECIALIST)
(951) 723-0671
Entity
Organization
Contact information
Practice address
7899 MISSION GROVE PKWY S STE A, RIVERSIDE, CA 92508-5062
(951) 723-0671
Mailing address
7899 MISSION GROVE PKWY S STE A, RIVERSIDE, CA 92508-5062
(951) 776-9223
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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