Organization
PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATION
Active
Parent organization
PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATION
Other names
Embrasse Treatment Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHOLOGY CONSULTING, PROFESSIONAL CORPORATION
Authorized official
TWEE HYLER (VICE PRESIDENT)
(760) 560-3947
Entity
Organization
Contact information
Practice address
550 W VISTA WAY STE 102, VISTA, CA 92083-5735
(760) 560-3947
Mailing address
310 S TWIN OAKS VALLEY RD # 107-229, SAN MARCOS, CA 92078-4303
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
A122488
CA
261QM0850X
Adult Mental Health Clinic/Center
A122488
CA
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
A122488
CA
Other
Enumeration date
10/03/2017
Last updated
10/16/2017
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