Live Individuate Vibrate Evolve and Expand - Live
Live Individuate Vibrate Evolve and Expand - Live is a Community/Behavioral Health Agency in Pomona, California. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1554 Sout Garey Ave Apt CPomona, CA 91766-5244
Phone: (909) 455-7733
Fax: (866) 598-3594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1043049182 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Anthony Rucker — Director · (917) 754-3691 |
| NPI enumerated | July 29, 2024 |
| Last updated in NPPES | July 29, 2024 |
| Certification date | July 23, 2024 |
| Mailing address | Po Box 441, Pomona, CA 91769-0441 |
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