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Assisted Living Facility (Mental Illness) · VICTORVILLE, CA

Organization Active NPI 1659026151

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Assisted Living Facility (Mental Illness)3104A0625X
Psychologist103T00000X
Addiction (Substance Use Disorder) Psychologist103TA0400X
Cognitive & Behavioral Psychologist103TB0200X
Clinical Psychologist103TC0700X
Group Psychotherapy Psychologist103TP2701X
Social Worker104100000X
Clinical Social Worker1041C0700X
Marriage & Family Therapist106H00000X
Behavior Technician106S00000X
Case Management Agency251B00000X
Assisted Living Facility310400000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000X

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.