| Children's Crisis Response Team | |
|
268 W Hospitality Ln Suite 400 San Bernardino CA 92415-0001 | |
| (909) 382-3080 | |
| (909) 383-3105 |
| Full Name | Children's Crisis Response Team |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 268 W Hospitality Ln, San Bernardino, 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 268 W Hospitality Ln Suite 400 San Bernardino CA 92415-0001 Ph: (909) 382-3080 | Children's Crisis Response Team 268 W Hospitality Ln Suite 400 San Bernardino CA 92415-0001 Ph: (909) 382-3080 |
| NPI Number | 1245447507 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245447507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | LSC166000 (California) | Primary |
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