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2080 S E St Ste 200 San Bernardino CA 92408-2746 | |
(909) 825-8989 | |
(909) 825-3464 |
Full Name | |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 2080 S E St Ste 200, San Bernardino, California |
Authorized Official Name and Position | Leslie Davis (SVP, CFO) |
Authorized Official Contact | 5103377950 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1080 Marina Village Pkwy Suite 100 Alameda CA 94501-6427 Ph: (510) 337-7950 | 2080 S E St Ste 200 San Bernardino CA 92408-2746 Ph: (909) 825-8989 |
NPI Number | 1760651178 |
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Provider Enumeration Date | 02/29/2008 |
Last Update Date | 09/09/2020 |
Certification Date | 09/09/2020 |
Identifier | Type | State | Issuer |
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1760651178 | NPI | - | NPPES |
36D4 | Other | COUNTY MENTAL HEALTH CERTIFICATE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (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 | |