| Trona Behavioral Health Clinic | |
|
13209 Market Street Trona CA 93562 | |
| (909) 382-3080 | |
| (909) 382-3105 |
| Full Name | Trona Behavioral Health Clinic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 13209 Market Street, Trona, California |
| Authorized Official Name and Position | Michael J Day (INFORMATION TECHNOLOGY MANAGER) |
| Authorized Official Contact | 9093880570 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trona Behavioral Health Clinic 268 W Hospitality Lane Suite 400 San Bernardino CA 92415-0026 Ph: (909) 382-3080 | Trona Behavioral Health Clinic 13209 Market Street Trona CA 93562 Ph: (909) 382-3080 |
| NPI Number | 1417166711 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 07/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417166711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | ZZZ74743Z (California) | Primary |
Lutheran Social Services Of Southern California Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 82820 Trona Rd Ste C, Trona, CA 93562 Phone: 760-372-5159 |