Organization
LA VID CORPORATION
Active
Parent organization
TREE OF LIFE COUNSELING AND DEVELOPMENT CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
TREE OF LIFE COUNSELING AND DEVELOPMENT CENTER
Authorized official
ARLYN MENDOZA LMFT (PRESIDENT)
(909) 631-5768
Entity
Organization
Contact information
Practice address
8273 WHITE OAK AVE STE B, RANCHO CUCAMONGA, CA 91730-7671
(909) 631-5768
Mailing address
523 W ELM ST, ONTARIO, CA 91762-5712
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/12/2021
Last updated
07/12/2021
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