Organization
POLY THERAPIST PSYCHOLOGY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANIJEH BADIEE PHD (DIRECTOR)
(512) 775-4743
Entity
Organization
Contact information
Practice address
15119 HORIZON ST UNIT 9, FONTANA, CA 92336-5273
(512) 775-4743
Mailing address
7182 ABIGAIL PL, FONTANA, CA 92336-5752
(512) 775-4743
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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