| Tri-city Mental Health Authority | |
|
3102 D St La Verne CA 91750-4023 | |
| (909) 766-7340 | |
| Not Available |
| Full Name | Tri-city Mental Health Authority |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3102 D St, La Verne, California |
| Authorized Official Name and Position | Natalie Majors (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 9096236131 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-city Mental Health Authority 1717 N Indian Hill Blvd Ste B Claremont CA 91711-2788 Ph: () - | Tri-city Mental Health Authority 3102 D St La Verne CA 91750-4023 Ph: (909) 766-7340 |
| NPI Number | 1013540707 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 05/10/2021 |
| Certification Date | 05/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013540707 | NPI | - | NPPES |
| W1208 | Other | CA | MEDICARE PROVIDER TRANSACTION ACCESS NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Tri-city Mental Health Authority Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2715 E St, La Verne, CA 91750 Phone: 909-971-8205 |