PHILLIP M. CHURCH

YUCCA VALLEY, CA
NPI1992011167
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-08-26
Last Update Date2010-08-26
Business Address
-- PHILLIP M. CHURCH
55475 SANTA FE TRL
YUCCA VALLEY, CA 92284-3117
Phone number: 760-365-3022
Mailing Address
-- PHILLIP M. CHURCH
55475 SANTA FE TRL.
YUCCA VALLEY, CA 92284
Phone number:
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