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Organization

INTO THE LIGHT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD E HONN LAADC (PROGRAM ADMINISTRATOR)
(855) 984-1788
Entity
Organization

Contact information

Practice address
101 E REDLANDS BLVD STE 275, REDLANDS, CA 92373-4721
(855) 984-1788
(909) 335-2804
Mailing address
101 E REDLANDS BLVD STE 200, REDLANDS, CA 92373-4724
(855) 984-1788

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
09/18/2023
Last updated
12/07/2023
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