| Trinity Rancho Cucamonga | |
|
9570 Center Ave Suite #100 Rancho Cucamonga CA 91730-5814 | |
| (909) 980-4755 | |
| (909) 980-2396 |
| Full Name | Trinity Rancho Cucamonga |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 9570 Center Ave, Rancho Cucamonga, California |
| Authorized Official Name and Position | James R. Adams (DIRECTOR) |
| Authorized Official Contact | 7147130561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Rancho Cucamonga 9570 Center Ave Suite #100 Rancho Cucamonga CA 91730-5814 Ph: (909) 980-4755 | Trinity Rancho Cucamonga 9570 Center Ave Suite #100 Rancho Cucamonga CA 91730-5814 Ph: (909) 980-4755 |
| NPI Number | 1619323383 |
|---|---|
| Provider Enumeration Date | 05/11/2016 |
| Last Update Date | 05/03/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619323383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (California) | Primary |
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