| Children's Crisis Response Team Morongo Basin | |
|
56357 Pima Trail Yucca Valley CA 92284 | |
| (909) 382-3080 | |
| (909) 382-3105 |
| Full Name | Children's Crisis Response Team Morongo Basin |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 56357 Pima Trail, Yucca Valley, California |
| Authorized Official Name and Position | Michael J Day (INFORMATION TECHNOLOGY MANAGER) |
| Authorized Official Contact | 9093880570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Crisis Response Team Morongo Basin 268 W. Hospitality Lane Suite 400 San Bernardino CA 92415-0026 Ph: (909) 382-3080 | Children's Crisis Response Team Morongo Basin 56357 Pima Trail Yucca Valley CA 92284 Ph: (909) 382-3080 |
| NPI Number | 1699976597 |
|---|---|
| Provider Enumeration Date | 05/29/2007 |
| Last Update Date | 07/13/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699976597 | NPI | - | NPPES |
| 3600036DG | Other | CA | MEDICAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | ZZZ74743Z (California) | Primary |
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Integrated Therapeutic Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55379 29 Palms Hwy, Yucca Valley, CA 92284 Phone: 760-365-4819 | |
Morongo Basin Mental Health Services Assoc Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55475 Santa Fe Trl, Yucca Valley, CA 92284 Phone: 760-365-3022 Fax: 760-365-3513 | |
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