| Young Visionaries Youth Leadership Academy | |
|
1616 N D St San Bernardino CA 92405-4404 | |
| (909) 881-3332 | |
| (909) 881-3385 |
| Full Name | Young Visionaries Youth Leadership Academy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1616 N D St, San Bernardino, California |
| Authorized Official Name and Position | Terrance Stone (CEO) |
| Authorized Official Contact | 9098813382 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young Visionaries Youth Leadership Academy 1616 N D St San Bernardino CA 92405-4404 Ph: (909) 881-3332 | Young Visionaries Youth Leadership Academy 1616 N D St San Bernardino CA 92405-4404 Ph: (909) 881-3332 |
| NPI Number | 1831329275 |
|---|---|
| Provider Enumeration Date | 07/20/2009 |
| Last Update Date | 07/20/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831329275 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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