Organization
BOYS & GIRLS CLUBS OF GREATER REDLANDS-RIVERSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA IRENE DAGGETT DSW, MS, LMFT (DIR. OF BEHAVIORAL HEALTH SERVICES)
(909) 731-5576
Entity
Organization
Contact information
Practice address
1251 CLAY ST, REDLANDS, CA 92374-3257
(909) 731-5576
Mailing address
1251 CLAY ST, REDLANDS, CA 92374-3257
(909) 731-5576
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/26/2024
Last updated
12/26/2024
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