Day Reporting Center Fon | |
17830 Arrow Blvd. Fontana CA 92335 | |
(909) 356-6452 | |
Not Available |
Full Name | Day Reporting Center Fon |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 17830 Arrow Blvd., Fontana, 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 |
---|---|
Day Reporting Center Fon 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0900 | Day Reporting Center Fon 17830 Arrow Blvd. Fontana CA 92335 Ph: (909) 356-6452 |
NPI Number | 1912258633 |
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Provider Enumeration Date | 09/20/2012 |
Last Update Date | 09/07/2022 |
Certification Date | 04/14/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912258633 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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