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Melissa Kiersten Bergstrom
Community/Behavioral Health Agency in Pomona, California
NPI 1174144000

Melissa Kiersten Bergstrom is a Community/Behavioral Health Agency based in San Gabriel, CA. Melissa Kiersten Bergstrom practices in Pomona, CA. The NPI Number for Melissa Kiersten Bergstrom is 1174144000 and holds a License No. (California).

The current practice location address for Melissa Kiersten Bergstrom is 831 E Arrow Hwy, Pomona, CA and can be reached out via phone at 909-200-6463.

Location: 831 E Arrow Hwy, Pomona, CA, 91776-2255
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174144000
Provider Name
Melissa Kiersten Bergstrom
Credential
Provider Entity Type
Individual
Gender
Female
Address
831 E Arrow Hwy, Pomona, CA, 91776-2255
Phone Number
909-200-6463
Fax Number
Provider Enumeration Date
05/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
831 E Arrow Hwy
City
Pomona
State
California
Zip
91767-2535
Phone Number
909-200-6463
Fax Number
person
Provider Business Mailing Address Details
Address
831 E Arrow Hwy
City
Pomona
State
California
Zip
91767-2535
Phone Number
909-200-6463
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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