Banning Mcmt | |
39139 Cherry Valley Blvd Cherry Valley CA 92223-4484 | |
(951) 955-1551 | |
Not Available |
Full Name | Banning Mcmt |
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Speciality | Community/behavioral Health |
Location | 39139 Cherry Valley Blvd, Cherry Valley, California |
Authorized Official Name and Position | Matthew Chang (DIRECTOR RUHS - BEHAVIORAL HEALTH) |
Authorized Official Contact | 9513584500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Banning Mcmt 4095 County Circle Dr Riverside CA 92503-3410 Ph: () - | Banning Mcmt 39139 Cherry Valley Blvd Cherry Valley CA 92223-4484 Ph: (951) 955-1551 |
NPI Number | 1396467023 |
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Provider Enumeration Date | 09/19/2022 |
Last Update Date | 09/19/2022 |
Certification Date | 09/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396467023 | NPI | - | NPPES |
00033 | Other | CA | LEGAL ENTITY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |