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Life Source Solutions, Inc
Adolescent and Children Mental Health Clinic/Center in Riverside, California
NPI 1609004563

Life Source Solutions, Inc is an Adolescent and Children Mental Health Clinic/Center based in Riverside, CA and is specialized in Adolescent and Children Mental Health. Life Source Solutions, Inc practices in Riverside, CA. The NPI Number for Life Source Solutions, Inc is 1609004563 and holds a License No. (California).

The current practice location address for Life Source Solutions, Inc is 4107 Mission Inn Ave, Riverside, CA and can be reached out via phone at 951-682-7143 and via fax at 951-684-1135.

Location: 4107 Mission Inn Ave, Riverside, CA, 92501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1609004563
Provider Name
Life Source Solutions, Inc
Credential
Provider Entity Type
Organization
Address
4107 Mission Inn Ave, Riverside, CA, 92501
Phone Number
951-682-7143
Fax Number
951-684-1135
Provider Enumeration Date
06/30/2009
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4107 Mission Inn Ave
City
Riverside
State
California
Zip
92501
Phone Number
951-682-7143
Fax Number
951-684-1135
person
Provider Business Mailing Address Details
Address
4107 Mission Inn Ave
City
Riverside
State
California
Zip
92501
Phone Number
951-682-7143
Fax Number
951-684-1135
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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