Organization
BOODAH, INC
Active
Parent organization
BOODAH INC
Other names
Clarity California
Organization subpart
Yes
Provider details
NPI number
Legal business name
BOODAH INC
Authorized official
COLLEEN LONG GALLICCHIO (OWNER/PROVIDER)
(800) 593-2560
Entity
Organization
Contact information
Practice address
27281 LAS RAMBLAS STE 200, MISSION VIEJO, CA 92691-8303
(800) 593-2560
(800) 593-2560
Mailing address
2 BUSHWOOD CIR, LADERA RANCH, CA 92694-0513
(800) 593-2560
(800) 593-2560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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