| |
1025 Sentinel Dr Suites 200 & 206 La Verne CA 91750-3280 | |
(909) 833-2986 | |
Not Available |
Full Name | |
---|---|
Speciality | Community Based Residential Treatment Facility, Mental Illness |
Location | 1025 Sentinel Dr, La Verne, California |
Authorized Official Name and Position | Daniel S. Maydeck (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 9095932581 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1025 Sentinel Dr Suites 200 & 206 La Verne CA 91750-3280 Ph: (909) 833-2986 | 1025 Sentinel Dr Suites 200 & 206 La Verne CA 91750-3280 Ph: (909) 833-2986 |
NPI Number | 1851642193 |
---|---|
Provider Enumeration Date | 09/26/2012 |
Last Update Date | 08/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851642193 | NPI | - | NPPES |
Tri-city Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3102 D St, La Verne, CA 91750 Phone: 909-766-7340 | |
Tri-city Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2715 E St, La Verne, CA 91750 Phone: 909-971-8205 | |
Ideal Care & Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6601 Stephens Ranch Rd, La Verne, CA 91750 Phone: 310-806-2693 Fax: 909-865-0193 |