Organization
TRIBALIGHTS TT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHOENIX GERMANO (CO-FOUNDER & COO)
(310) 721-4398
Entity
Organization
Contact information
Practice address
1316 APACHE AVE, SANTA FE, NM 87505-3212
(310) 721-4398
Mailing address
20548 VENTURA BLVD # 10-407, WOODLAND HILLS, CA 91364-6225
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
11/22/2024
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