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Organization

PSALM 23 RETREAT LLC

Active
Other names
Heights Wellness Retreat
Organization subpart
No

Provider details

NPI number
Authorized official
ASHLEY BUSTOS (CEO)
(818) 521-1790
Entity
Organization

Contact information

Practice address
19765 RINALDI ST STE A, PORTER RANCH, CA 91326-4245
(818) 521-1790
Mailing address
19765 RINALDI ST STE A, PORTER RANCH, CA 91326-4245
(818) 521-1790

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
06/19/2025
Last updated
06/19/2025
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