| Stormbreaker Wellness, Inc. | |
|
9320 Hollis St Bloomington CA 92316-1447 | |
| (909) 270-6478 | |
| Not Available |
| Full Name | Stormbreaker Wellness, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9320 Hollis St, Bloomington, California |
| Authorized Official Name and Position | Anthony Gary Ramirez (CEO, TREASURER) |
| Authorized Official Contact | 9092706478 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stormbreaker Wellness, Inc. 9320 Hollis St Bloomington CA 92316-1447 Ph: (909) 270-6478 | Stormbreaker Wellness, Inc. 9320 Hollis St Bloomington CA 92316-1447 Ph: (909) 270-6478 |
| NPI Number | 1609567593 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609567593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Christina Kinney Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 636 S Aspen Ave, Bloomington, CA 92316 Phone: 626-848-3504 |