Basic Information
| Provider Information | |||||||||
| NPI: | 1487128740 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HAPPIER-HEALTHIER-PRODUCTIVE INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29995 TECHNOLOGY DR STE 304 | ||||||||
| Address2: | |||||||||
| City: | MURRIETA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925632634 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9519234350 | ||||||||
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| Practice Location | |||||||||
| Address1: | 29995 TECHNOLOGY DR STE 304 | ||||||||
| Address2: | |||||||||
| City: | MURRIETA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 925632634 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9519234350 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/18/2019 | ||||||||
| LastUpdateDate: | 06/11/2019 | ||||||||
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| AuthorizedOfficialLastName: | KRISTO | ||||||||
| AuthorizedOfficialFirstName: | CAROLINE | ||||||||
| AuthorizedOfficialMiddleName: | Z. | ||||||||
| AuthorizedOfficialTitleorPosition: | CHIEF EXECUTIVE OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 9519234350 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | PH.D | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 251B00000X | N | Agencies | Case Management | 261Q00000X | N | Ambulatory Health Care Facilities | Clinic/Center | 3245S0500X | N | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | 251S00000X | Y | Agencies | Community/Behavioral Health |
ID Information
| ID | Type | State | Issuer | Description | 002635-08-2018 | 01 | CA | COUNTY OF RIVERSIDE | OTHER |