Organization
CALIFORNIA HEALING HORIZONS
Active
Parent organization
ILLUMINATING PSYCHOLOGICAL SERVICES CORPORATION
Other names
Illuminating Psychological Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
ILLUMINATING PSYCHOLOGICAL SERVICES CORPORATION
Authorized official
DR. INA CREEKBAUM (CEO)
(909) 856-5904
Entity
Organization
Contact information
Practice address
1650 SPRUCE ST STE 240, RIVERSIDE, CA 92507-7403
(909) 856-5904
Mailing address
967 KENDALL DR STE A-515, SAN BERNARDINO, CA 92407-4306
(909) 856-5904
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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