| |
255 N D St. Suite #412, 408 San Bernardino CA 92401-1735 | |
(951) 788-5905 | |
(951) 788-5903 |
Full Name | |
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Speciality | Community/behavioral Health |
Location | 255 N D St., San Bernardino, California |
Authorized Official Name and Position | Sue Evans (CHIEF OPERATING OFFICER) |
Authorized Official Contact | 9512048299 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8525 Gibbs Dr. Suite #100 San Diego CA 92123 Ph: (619) 584-5777 | 255 N D St. Suite #412, 408 San Bernardino CA 92401-1735 Ph: (951) 788-5905 |
NPI Number | 1225351828 |
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Provider Enumeration Date | 03/10/2010 |
Last Update Date | 12/09/2020 |
Certification Date | 12/09/2020 |
Identifier | Type | State | Issuer |
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1225351828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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