MICHAEL DEGRUTT

RIVERSIDE, CA
NPI1023415395
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2014-12-02
Last Update Date2014-12-08
Business Address
-- MICHAEL DEGRUTT B.S.
1405 SPRUCE ST A
RIVERSIDE, CA 92507-2464
Phone number: 951-715-5040
Mailing Address
-- MICHAEL DEGRUTT B.S.
1405 SPRUCE ST A
RIVERSIDE, CA 92507-2464
Phone number: 951-715-5040