Organization · Type 2 NPI
La Vid Corporation
Mental Health Clinic/Center (Including Community Mental Health Center) · Rancho Cucamonga, CA
NPI number
1740852763
Active
Practice location
8273 White Oak Ave Ste B
Rancho Cucamonga, CA 91730-7671
Mailing address
523 W Elm St
Ontario, CA 91762-5712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1740852763
La Vid Corporation's National Provider Identifier is 1740852763, issued on Jul 12, 2021. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Rancho Cucamonga, CA. The record was last updated on Jul 12, 2021.