Catholic Charities San Bernardino/riverside | |
23623 Sunnymead Blvd Suite E Moreno Valley CA 92553-3083 | |
(951) 924-9964 | |
(951) 924-9997 |
Full Name | Catholic Charities San Bernardino/riverside |
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Speciality | Community/behavioral Health |
Location | 23623 Sunnymead Blvd, Moreno Valley, California |
Authorized Official Name and Position | Ken F. Sawa (CEO/EXECUTIVE VICE-PRESIDENT) |
Authorized Official Contact | 9093881239 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Catholic Charities San Bernardino/riverside 1450 N D St San Bernardino CA 92405-4739 Ph: (909) 388-1239 | Catholic Charities San Bernardino/riverside 23623 Sunnymead Blvd Suite E Moreno Valley CA 92553-3083 Ph: (951) 924-9964 |
NPI Number | 1013218643 |
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Provider Enumeration Date | 11/12/2010 |
Last Update Date | 11/12/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013218643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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