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1738 N Waterman Ave Ste 1&2 San Bernardino CA 92404-5131 | |
(909) 693-3302 | |
Not Available |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1738 N Waterman Ave Ste 1&2, San Bernardino, California |
Authorized Official Name and Position | Kent Dunlap (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
Authorized Official Contact | 3102216336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1738 N Waterman Ave Ste 1&2 San Bernardino CA 92404-5131 Ph: (909) 693-3302 | 1738 N Waterman Ave Ste 1&2 San Bernardino CA 92404-5131 Ph: (909) 693-3302 |
NPI Number | 1578331096 |
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Provider Enumeration Date | 12/14/2023 |
Last Update Date | 01/09/2025 |
Certification Date | 01/09/2025 |
Identifier | Type | State | Issuer |
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1578331096 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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