| |
900 E Gilbert St Ste 4 San Bernardino CA 92415-5230 | |
(909) 421-9328 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 900 E Gilbert St Ste 4, San Bernardino, California |
Authorized Official Name and Position | Erica Porteous (CHIEF COMPLIANCE OFFICER) |
Authorized Official Contact | 9093880879 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: () - | 900 E Gilbert St Ste 4 San Bernardino CA 92415-5230 Ph: (909) 421-9328 |
NPI Number | 1750931572 |
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Provider Enumeration Date | 09/13/2019 |
Last Update Date | 10/05/2023 |
Certification Date | 10/05/2023 |
Identifier | Type | State | Issuer |
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1750931572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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