Mercy Seat Mental Health Treatment Center LLC
NPI #1043920119 in Norco, California
Provider Information
- NPI Number
- 1043920119
- Entity Type
- Organization
- Organization Name
- Mercy Seat Mental Health Treatment Center LLC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Nov 30, 2022
- Last Updated
- Apr 30, 2024
Practice Location
- Address
- 1640 2ND ST STE 105
- City
- Norco
- State
- California
- ZIP Code
- 92860-2983
- Phone
- (424) 221-0834
Authorized Official
- Name
- STELLA ALAH-TIH FONGOD
- Title
- OWNER OF THE ENTITY
- Phone
- (424) 221-0834
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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