| Ffs Mfcc | |
|
303 E Vanderbilt Way San Bernardino CA 92415-0026 | |
| (909) 388-0801 | |
| (909) 890-0435 |
| Full Name | Ffs Mfcc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 303 E Vanderbilt Way, San Bernardino, California |
| Authorized Official Name and Position | Casonya Thomas (DIRECTOR) |
| Authorized Official Contact | 9093880801 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ffs Mfcc 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 | Ffs Mfcc 303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 |
| NPI Number | 1407052863 |
|---|---|
| Provider Enumeration Date | 06/22/2007 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407052863 | NPI | - | NPPES |
| 3600036A5 | Other | CA | MEDICAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | ZZZ74743Z (California) | Primary |
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Ffs Psychologist Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0801 Fax: 909-890-0435 | |
Taylor Almquist Lcsw Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 473 E Carnegie Drive, Suite 200, San Bernardino, CA 92408 Phone: 909-300-5058 |