Organization
HEARTS & LIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUVIA RODRIGUEZ (EXECUTIVE DIRECTOR)
(909) 338-3222
Entity
Organization
Contact information
Practice address
24028 LAKE DR, CRESTLINE, CA 92325
(909) 338-3222
(909) 338-3222
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
06/05/2013
Last updated
07/21/2022
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