Organization
INTO THE LIGHT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS BEETS (BILLING DIRECTOR)
(949) 933-1931
Entity
Organization
Contact information
Practice address
101 E REDLANDS BLVD STE 170E, REDLANDS, CA 92373-4700
(909) 233-5634
Mailing address
101 E REDLANDS BLVD STE 170E, REDLANDS, CA 92373-4700
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
12/06/2021
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