Organization
IMPRESSION HEALTHCARE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN RAMON SANFT LCSW (OWNER/DIRECTOR)
(909) 709-7705
Entity
Organization
Contact information
Practice address
22573 BARTON RD., GRAND TERRACE, CA 92313
(909) 514-1505
(909) 498-1360
Mailing address
22573 BARTON RD., GRAND TERRACE, CA 92313
(909) 514-1505
(909) 498-1360
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
LCS 23258
CA
Other
Enumeration date
08/07/2009
Last updated
08/07/2009
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