Ontario One Stop Tay Center | |
316 E E St Ontario CA 91764-3712 | |
(909) 983-4466 | |
Not Available |
Full Name | Ontario One Stop Tay Center |
---|---|
Speciality | Community/behavioral Health |
Location | 316 E E St, Ontario, California |
Authorized Official Name and Position | James C. Callaghan (PRESIDENT/CEO) |
Authorized Official Contact | 8585732600 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ontario One Stop Tay Center 9465 Farnham San Diego CA 92123 Ph: (858) 573-2600 | Ontario One Stop Tay Center 316 E E St Ontario CA 91764-3712 Ph: (909) 983-4466 |
NPI Number | 1982071627 |
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Provider Enumeration Date | 08/28/2015 |
Last Update Date | 08/27/2020 |
Certification Date | 08/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982071627 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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