South Coast Community Services | |
34324 Yucaipa Blvd Suite B-d Yucaipa CA 92399-2496 | |
(909) 790-1300 | |
Not Available |
Full Name | South Coast Community Services |
---|---|
Speciality | Community/behavioral Health |
Location | 34324 Yucaipa Blvd, Yucaipa, California |
Authorized Official Name and Position | Kathleen Darling (CHIEF OPERATIONS OFFICER) |
Authorized Official Contact | 9098384274 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Coast Community Services 25910 Acero Ste 160 Mission Viejo CA 92691-2777 Ph: (909) 980-7000 | South Coast Community Services 34324 Yucaipa Blvd Suite B-d Yucaipa CA 92399-2496 Ph: (909) 790-1300 |
NPI Number | 1962634956 |
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Provider Enumeration Date | 08/10/2009 |
Last Update Date | 08/01/2022 |
Certification Date | 08/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962634956 | NPI | - | NPPES |
36EQ | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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