A New Creation Child, Individual & Family Counseling Treatment Center
NPI #1992179360 in Moreno Valley, California
Provider Information
- NPI Number
- 1992179360
- Entity Type
- Organization
- Organization Name
- A New Creation Child, Individual & Family Counseling Treatment Center
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Nov 22, 2015
- Last Updated
- Mar 25, 2019
Practice Location
- Address
- 23800 SUNNYMEAD BLVD STE D
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92553-7731
- Phone
- (310) 420-5341
Authorized Official
- Name
- PAULETTE DOUGLAS, LMFT
- Title
- PRESIDENT & CEO
- Phone
- (310) 963-7174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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