institution
County Of San Bernardino
Substance Use Disorder Rehabilitation Clinic/Center in Lucerne Valley, California
NPI 1326257403

County Of San Bernardino is a Substance Use Disorder Rehabilitation Clinic/Center based in San Bernardino, CA and is specialized in Rehabilitation, Substance Use Disorder. County Of San Bernardino practices in Lucerne Valley, CA. The NPI Number for County Of San Bernardino is 1326257403 and holds a License No. ZZZ74743Z (California).

The current practice location address for County Of San Bernardino is 32700 Old Woman Springs Road, Lucerne Valley, CA and can be reached out via phone at 909-382-3080 and via fax at 909-382-3105.

Location: 32700 Old Woman Springs Road, Lucerne Valley, CA, 92415-0026
institution
Provider Profile Details
NPI Number
1326257403
Provider Name
County Of San Bernardino
Credential
Provider Entity Type
Organization
Address
32700 Old Woman Springs Road, Lucerne Valley, CA, 92415-0026
Phone Number
909-382-3080
Fax Number
909-382-3105
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
360003681 01 CA ADP MEDICAL PROVIDER NUMB
institution
Provider Business Practice Location Address Details
Address
32700 Old Woman Springs Road
City
State
Zip
92356
Phone Number
909-382-3080
Fax Number
909-382-3105
person
Provider Business Mailing Address Details
Address
32700 Old Woman Springs Road
City
State
Zip
92356
Phone Number
909-382-3080
Fax Number
909-382-3105
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
License No.
ZZZ74743Z (California)
Definition
Definition to come...
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