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Organization

THE F I A T M GROUP INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YAKUBA BROWN (EXECUTIVE DIRECTOR)
(951) 478-7178
Entity
Organization

Contact information

Practice address
2192 GALLERIA AT TYLER, RIVERSIDE, CA 92503-4146
(951) 570-5053
Mailing address
25920 IRIS AVE. BLDG 13A, SUITE 231, MORENO VALLEY, CA 92551-9255
(951) 570-5053

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP1600X
Pastoral Counselor
101YP2500X
Professional Counselor
101YS0200X
School Counselor
171W00000X
Contractor
175T00000X
Peer Specialist
235Z00000X
Speech-Language Pathologist
251S00000X
Community/Behavioral Health Agency
252Y00000X
Early Intervention Provider Agency
Primary
261QM0850X
Adult Mental Health Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility
3245S0500X
Children's Substance Abuse Rehabilitation Facility
405300000X
Prevention Professional

Other

Enumeration date
06/02/2025
Last updated
06/02/2025
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