Organization
COMMUNITY CENTER FOR HEALTHY MINDS (CCHM)
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK FLOURNOY LMFT (PRESIDENT)
(951) 656-6969
Entity
Organization
Contact information
Practice address
13800 HEACOCK ST STE D139B, MORENO VALLEY, CA 92553-6276
(951) 656-6969
(951) 656-6868
Mailing address
13800 HEACOCK ST STE D139B, MORENO VALLEY, CA 92553-6276
(951) 656-6969
(951) 656-6868
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
MFC20033
CA
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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