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1053 N D St San Bernardino CA 92410-3521 | |
(951) 436-5200 | |
(909) 884-9035 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 1053 N D St, San Bernardino, California |
Authorized Official Name and Position | Angela R Wiechert (MANAGER OF FINANCIAL PLANNING) |
Authorized Official Contact | 5302301210 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1360 E Lassen Ave Chico CA 95973-7823 Ph: (530) 893-0758 | 1053 N D St San Bernardino CA 92410-3521 Ph: (951) 436-5200 |
NPI Number | 1851670418 |
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Provider Enumeration Date | 08/12/2011 |
Last Update Date | 08/29/2013 |
Identifier | Type | State | Issuer |
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1851670418 | NPI | - | NPPES |
01042 | Other | CA | LEGAL ENTITY # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
Cynthia J Soto Md Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 399 E Highland Ave Ste 223, San Bernardino, CA 92404 Phone: 909-475-5200 | |
Youth Hope Licensed Clinical Social Worker Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 N D St Ste 400, San Bernardino, CA 92401 Phone: 909-567-2808 | |
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