Restore Mental Wellness, Licensed Clinical Social Worker, INC
NPI #1649085507 in Moreno Valley, California
Provider Information
- NPI Number
- 1649085507
- Entity Type
- Organization
- Organization Name
- Restore Mental Wellness, Licensed Clinical Social Worker, INC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Feb 10, 2025
- Last Updated
- Feb 10, 2025
Practice Location
- Address
- 22521 SCARLET SAGE WAY
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92557-5921
- Phone
- (562) 556-1312
Authorized Official
- Name
- MRS. DIANITZA MEDINA, LCSW
- Title
- CEO
- Phone
- (562) 556-1312
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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