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County Of San Bernardino
Adolescent and Children Mental Health Clinic/Center in San Bernardino, California
NPI 1467658187

County Of San Bernardino is an Adolescent and Children Mental Health Clinic/Center based in San Bernardino, CA and is specialized in Adolescent and Children Mental Health. County Of San Bernardino practices in San Bernardino, CA. The NPI Number for County Of San Bernardino is 1467658187 and holds a License No. ZZZ74743Z (California).

The current practice location address for County Of San Bernardino is 780 E Gilbert St, San Bernardino, CA and can be reached out via phone at 909-387-7194.

Location: 780 E Gilbert St, San Bernardino, CA, 92415-0026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467658187
Provider Name
County Of San Bernardino
Credential
Provider Entity Type
Organization
Address
780 E Gilbert St, San Bernardino, CA, 92415-0026
Phone Number
909-387-7194
Fax Number
Provider Enumeration Date
06/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36DD 01 CA MEDI-CAL PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
780 E Gilbert St
City
San Bernardino
State
California
Zip
92415
Phone Number
909-387-7194
Fax Number
person
Provider Business Mailing Address Details
Address
780 E Gilbert St
City
San Bernardino
State
California
Zip
92415
Phone Number
909-387-7194
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
ZZZ74743Z (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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