| Integrated New Family Opportunities High Desert (infohd) | |
|
15345 Bonanza Rd Victorville CA 92392-2499 | |
| (909) 387-7380 | |
| Not Available |
| Full Name | Integrated New Family Opportunities High Desert (infohd) |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15345 Bonanza Rd, Victorville, California |
| Authorized Official Name and Position | Erica Ochoa (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9093880882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated New Family Opportunities High Desert (infohd) 15345 Bonanza Rd Victorville CA 92392-2499 Ph: (909) 387-7380 | Integrated New Family Opportunities High Desert (infohd) 15345 Bonanza Rd Victorville CA 92392-2499 Ph: (909) 387-7380 |
| NPI Number | 1568947323 |
|---|---|
| Provider Enumeration Date | 09/27/2018 |
| Last Update Date | 09/07/2022 |
| Certification Date | 09/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568947323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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