| Boys & Girls Clubs Of Greater Redlands-riverside | |
|
1251 Clay St Redlands CA 92374-3257 | |
| (909) 731-5576 | |
| Not Available |
| Full Name | Boys & Girls Clubs Of Greater Redlands-riverside |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1251 Clay St, Redlands, California |
| Authorized Official Name and Position | Martha Irene Daggett (DIR. OF BEHAVIORAL HEALTH SERVICES) |
| Authorized Official Contact | 9097315576 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boys & Girls Clubs Of Greater Redlands-riverside 1251 Clay St Redlands CA 92374-3257 Ph: (909) 731-5576 | Boys & Girls Clubs Of Greater Redlands-riverside 1251 Clay St Redlands CA 92374-3257 Ph: (909) 731-5576 |
| NPI Number | 1831907518 |
|---|---|
| Provider Enumeration Date | 12/26/2024 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831907518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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