Organization
HEALING TRIANGLE SOUL-MAKING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK TANABE PSYD (PRESIDENT)
(626) 278-2301
Entity
Organization
Contact information
Practice address
27720 AVENUE SCOTT STE 160, VALENCIA, CA 91355-3460
(626) 278-2301
Mailing address
27720 AVENUE SCOTT STE 160, VALENCIA, CA 91355-3460
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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