MALCHIAH ANDREAS HEADS

RIVERSIDE, CA
NPI1194111419
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2015-04-14
Last Update Date2015-04-14
Business Address
-- MALCHIAH ANDREAS HEADS
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2541
Mailing Address
-- MALCHIAH ANDREAS HEADS
17270 ROOSEVELT ST
RIVERSIDE, CA 92508-9523
Phone number: 951-780-2541
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