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11951 Hesperia Road Hesperia CA 92345 | |
| (909) 382-3080 | |
| (909) 382-3105 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 11951 Hesperia Road, Hesperia, California |
| Authorized Official Name and Position | Michael J Day (INFORMATION TECHNOLOGY MANAGER) |
| Authorized Official Contact | 9093823061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
268 W Hospitality Lane Suite 400 San Bernardino CA 92415-0026 Ph: (909) 382-3127 | 11951 Hesperia Road Hesperia CA 92345 Ph: (909) 382-3080 |
| NPI Number | 1326257627 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 07/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326257627 | NPI | - | NPPES |
| 360003629 | Other | CA | ADP MEDICAL PROVIDER NUMB |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | ZZZ74743Z (California) | Primary |
Holistic Counseling And Wellness Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9280 Glendale Ave, Hesperia, CA 92345 Phone: 206-909-4858 | |
Magnolia Psychological Assessment & Therapy Center, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12021 Jacaranda Ave Ste 201e, Hesperia, CA 92345 Phone: 760-454-6817 | |
Jackson Family Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17565 El Cajon Dr, Hesperia, CA 92345 Phone: 760-979-8058 | |
Bright House Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7807 Lyons Ave # A, Hesperia, CA 92345 Phone: 562-537-2591 | |
Maria Barnes Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14418 Arthur St., Hesperia, CA 92344 Phone: 626-826-7251 | |