Provider Demographics
NPI:1710361142
Name:INWARD JOURNEYS COUNSELING CENTER, INC.,
Entity Type:Organization
Organization Name:INWARD JOURNEYS COUNSELING CENTER, INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:TANZINI
Authorized Official - Suffix:
Authorized Official - Credentials:DRPH
Authorized Official - Phone:909-596-4212
Mailing Address - Street 1:2435 PINE ST
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2179
Mailing Address - Country:US
Mailing Address - Phone:909-596-4212
Mailing Address - Fax:909-596-4218
Practice Address - Street 1:2435 PINE ST
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2179
Practice Address - Country:US
Practice Address - Phone:909-596-4212
Practice Address - Fax:909-596-4218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198601948261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care