Organization
HUMANITY CENTER 4 CHANGE
Active
Organization
HUMANITY CENTER 4 CHANGE
Active
Other names
HumanityCenter4Change
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESA ETHRIDGE DR. (PSYCHOLOGIST/INTERN)
(951) 531-6785
Entity
Organization
Contact information
Practice address
9791 ARROW RTE, RANCHO CUCAMONGA, CA 91730-3602
(951) 531-6785
Mailing address
5001 W FLORIDA AVE SPC 688, HEMET, CA 92545-3822
(951) 531-6785
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/04/2024
Last updated
12/28/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up