Organization
HEARTS & LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUVIA RODRIGUEZ (EXECUTIVE DIRECTOR)
(909) 338-3222
Entity
Organization
Contact information
Practice address
27307 STATE HWY. 189, SUITE 205, BLUE JAY, CA 92317
(909) 338-3222
(909) 338-3221
Mailing address
PO BOX 4644, BLUE JAY, CA 92317-4644
(909) 338-3222
(909) 338-3221
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/21/2017
Last updated
08/21/2017
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