Organization · Type 2 NPI

Ruby Wade LCSW LLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Ontario, CA

NPI number 1669343547 Active

Practice location

3333 Concours Ste 8102
Ontario, CA 91764-5522

Mailing address

PO Box 19
Bismarck, AR 71929-0019

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

4 other providers at this address

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About NPI 1669343547

Ruby Wade LCSW LLC's National Provider Identifier is 1669343547, issued on Sep 15, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Ontario, CA. The record was last updated on Oct 23, 2026.