Provider Demographics
NPI:1134930522
Name:A BETTER YOU T.T.A.G
Entity type:Organization
Organization Name:A BETTER YOU T.T.A.G
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:YVETTE
Authorized Official - Last Name:IRVING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-273-9815
Mailing Address - Street 1:14920 PERRIS BLVD STE 143
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92553-3995
Mailing Address - Country:US
Mailing Address - Phone:323-273-9815
Mailing Address - Fax:
Practice Address - Street 1:14920 PERRIS BLVD STE 143
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-3995
Practice Address - Country:US
Practice Address - Phone:323-273-9815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251B00000XAgenciesCase Management
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No251V00000XAgenciesVoluntary or Charitable