| Family Service Agency Of San Bernardino | |
|
109 1/2 N 7th Ave Barstow CA 92311-2337 | |
| (760) 256-9326 | |
| (760) 256-9326 |
| Full Name | Family Service Agency Of San Bernardino |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 109 1/2 N 7th Ave, Barstow, California |
| Authorized Official Name and Position | Patrice J Cormican (CEO) |
| Authorized Official Contact | 9098866737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Agency Of San Bernardino 1669 N E St San Bernardino CA 92405-4405 Ph: (909) 886-6737 | Family Service Agency Of San Bernardino 109 1/2 N 7th Ave Barstow CA 92311-2337 Ph: (760) 256-9326 |
| NPI Number | 1275941049 |
|---|---|
| Provider Enumeration Date | 07/24/2014 |
| Last Update Date | 10/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275941049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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