|
| |
|
850 E Foothill Blvd Rialto CA 92376-5230 | |
| (909) 421-9301 | |
| (909) 421-9219 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 850 E Foothill Blvd, Rialto, California |
| Authorized Official Name and Position | Erica Ochoa (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9093880882 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
303 E Vanderbilt Way San Bernardino CA 92415-0026 Ph: (909) 388-0801 | 850 E Foothill Blvd Rialto CA 92376-5230 Ph: (909) 421-9301 |
| NPI Number | 1326259151 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 09/07/2022 |
| Certification Date | 04/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326259151 | NPI | - | NPPES |
| 360003691 | Other | CA | MEDICAL PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | ZZZ74743Z (California) | Primary |
Youthful Creations And Interventions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3667 N Plum Tree Ave, Rialto, CA 92377 Phone: 909-543-9974 | |
Desired Change Therapeutic Solutions A Licensed Clinical Social Worker Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 822 S Breden Ln, Rialto, CA 92376 Phone: 909-609-6078 | |
First Step Group Homes Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 689 N Beechwood Ave, Rialto, CA 92376 Phone: 909-990-5438 | |
Department Of Behavior Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 E Mariposa Dr, Rialto, CA 92376 Phone: 909-421-9495 | |
Iclass Treatment Center Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 N Riverside Ave Ste 180, Rialto, CA 92376 Phone: 818-351-6937 | |
Watered Flower Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Olive Ave, Rialto, CA 92376 Phone: 725-287-7660 |