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1604 N Pennsylvania Ave San Bernardino CA 92411-1171 | |
(909) 887-0160 | |
(909) 890-1043 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1604 N Pennsylvania Ave, San Bernardino, California |
Authorized Official Name and Position | Judy G Berhe (CEO/ADMINISTRATOR) |
Authorized Official Contact | 9098901041 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1845 Business Center Dr Ste 208 San Bernardino CA 92408-3447 Ph: (909) 890-1041 | 1604 N Pennsylvania Ave San Bernardino CA 92411-1171 Ph: (909) 887-0160 |
NPI Number | 1609392729 |
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Provider Enumeration Date | 08/21/2017 |
Last Update Date | 08/21/2017 |
Identifier | Type | State | Issuer |
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1609392729 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | 366401098 (California) | Primary |
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