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104 W 4th St San Bernardino CA 92415-0035 | |
(909) 382-7881 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Adult Mental Health |
Location | 104 W 4th St, San Bernardino, 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 |
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303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 | 104 W 4th St San Bernardino CA 92415-0035 Ph: (909) 382-7881 |
NPI Number | 1740532647 |
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Provider Enumeration Date | 10/03/2012 |
Last Update Date | 09/01/2022 |
Certification Date | 04/14/2021 |
Identifier | Type | State | Issuer |
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1740532647 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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