| East Valley Community Crisis Response Team | |
|
850 E Foothill Blvd Rialto CA 92376-5230 | |
| (909) 873-4488 | |
| (909) 382-3105 |
| Full Name | East Valley Community Crisis Response Team |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 850 E Foothill Blvd, Rialto, 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 |
|---|---|
| East Valley Community Crisis Response Team 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 | East Valley Community Crisis Response Team 850 E Foothill Blvd Rialto CA 92376-5230 Ph: (909) 873-4488 |
| NPI Number | 1194029066 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 09/07/2022 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194029066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (California) | Primary |
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