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1874 Business Center Dr San Bernardino CA 92408-3457 | |
(909) 386-0523 | |
(909) 386-0529 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1874 Business Center Dr, San Bernardino, 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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9465 Farnham San Diego CA 92123 Ph: (858) 573-2600 | 1874 Business Center Dr San Bernardino CA 92408-3457 Ph: (909) 386-0523 |
NPI Number | 1962538652 |
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Provider Enumeration Date | 02/26/2007 |
Last Update Date | 08/27/2020 |
Certification Date | 08/27/2020 |
Identifier | Type | State | Issuer |
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1962538652 | NPI | - | NPPES |
3639 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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