Immaculate Care Center,inc
NPI #1265728901 in Moreno Valley, California
Provider Information
- NPI Number
- 1265728901
- Entity Type
- Organization
- Organization Name
- Immaculate Care Center,inc
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jun 21, 2011
- Last Updated
- Jun 21, 2011
Practice Location
- Address
- 24384 SUNNYMEAD BLVD
- Address 2
- SUITE 240
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-3069
- Phone
- (951) 243-0303
Authorized Official
- Name
- MS. DORYCE M AGUIRRE, RAS
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (951) 243-0303
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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