| Summerplace Inc | |
|
2027 E Deodar St Ontario CA 91764-1624 | |
| (909) 945-2736 | |
| Not Available |
| Full Name | Summerplace Inc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 2027 E Deodar St, Ontario, California |
| Authorized Official Name and Position | June Hayes (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9099452736 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summerplace Inc 2027 E Deodar St Ontario CA 91764-1624 Ph: (909) 945-2736 | Summerplace Inc 2027 E Deodar St Ontario CA 91764-1624 Ph: (909) 945-2736 |
| NPI Number | 1962075564 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 08/05/2021 |
| Certification Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962075564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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