Organization
NOVA MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERTO L IBARRA PSYD (FOUNDER)
(562) 883-3492
Entity
Organization
Contact information
Practice address
27380 NORTH BAY RD, LAKE ARROWHEAD, CA 92352
(909) 235-6326
Mailing address
PO BOX 754, BLUE JAY, CA 92317-0754
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/18/2024
Last updated
09/18/2024
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