| |
164 W Hospitality Ln Suite 1a San Bernardino CA 92408-3316 | |
(909) 379-1525 | |
Not Available |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 164 W Hospitality Ln, San Bernardino, California |
Authorized Official Name and Position | Deborah Burns (INTERIM GENERAL MANAGER) |
Authorized Official Contact | 9095373939 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
5500 University Parkway San Bernardino CA 92407 Ph: () - | 164 W Hospitality Ln Suite 1a San Bernardino CA 92408-3316 Ph: (909) 379-1525 |
NPI Number | 1982728689 |
---|---|
Provider Enumeration Date | 03/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982728689 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Cynthia J Soto Md Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 223, San Bernardino, CA 92404 Phone: 909-475-5200 | |
Youth Hope Licensed Clinical Social Worker Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N D St Ste 400, San Bernardino, CA 92401 Phone: 909-567-2808 | |
Beyond Wellness Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2150 N Waterman Ave Ste 101, San Bernardino, CA 92404 Phone: 833-759-8720 | |