| Inland Empire Community Outreach Center | |
|
473 East Carnegie Drive Suite 200 San Bernardino CA 92408 | |
| (909) 269-9403 | |
| Not Available |
| Full Name | Inland Empire Community Outreach Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 473 East Carnegie Drive, San Bernardino, California |
| Authorized Official Name and Position | Velveth Melissa Love (DIRECTOR) |
| Authorized Official Contact | 9092699403 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inland Empire Community Outreach Center 473 East Carnegie Drive Suite 200 San Bernardino CA 92408 Ph: (909) 269-9403 | Inland Empire Community Outreach Center 473 East Carnegie Drive Suite 200 San Bernardino CA 92408 Ph: (909) 269-9403 |
| NPI Number | 1689210775 |
|---|---|
| Provider Enumeration Date | 11/23/2019 |
| Last Update Date | 12/25/2023 |
| Certification Date | 12/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689210775 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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