Provider Demographics
NPI:1083201768
Name:MCADORY INC
Entity Type:Organization
Organization Name:MCADORY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE AND FAMILY
Authorized Official - Prefix:MISS
Authorized Official - First Name:EBONEE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCADORY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:760-552-5333
Mailing Address - Street 1:6858 CHARLOMA ST
Mailing Address - Street 2:
Mailing Address - City:ALTA LOMA
Mailing Address - State:CA
Mailing Address - Zip Code:91701-4868
Mailing Address - Country:US
Mailing Address - Phone:760-552-5333
Mailing Address - Fax:
Practice Address - Street 1:10737 LAUREL ST STE 102
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-3837
Practice Address - Country:US
Practice Address - Phone:760-552-5333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)