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1104183292
SOCAL CENTER FOR CHANGE
ORANGE, CA
NPI
1104183292
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Entity Type
Organization
Authorized Contact
GEOFFREY PHILLIPS
President
714-453-0688
Organization Subpart ?
No
Primary Taxonomy
103TP0016X Psychologist, Prescribing (Medical)
Enumeration Date
2012-04-13
Last Update Date
2012-04-13
Business Address
SOCAL CENTER FOR CHANGE
1110 E CHAPMAN AVE SUITE 204
ORANGE, CA 92866-2139
Phone number: 714-453-0688
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Mailing Address
SOCAL CENTER FOR CHANGE
1110 E CHAPMAN AVE SUITE 204
ORANGE, CA 92866-2139
Phone number: 714-453-0688
Copy
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