Organization
ANGEL OF FAITH NON PROFIT ORGANIZATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS ALBERTO CRUZ M.S (PRESIDENT)
(951) 500-2774
Entity
Organization
Contact information
Practice address
12968 FREDERICK ST, A, MORENO VALLEY, CA 92553-5229
(951) 525-3752
(951) 358-0762
Mailing address
4996 LA SIERRA AVE, RIVERSIDE, CA 92505-2612
(951) 525-3752
(951) 358-0762
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/20/2012
Last updated
02/06/2013
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