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Water Of Life Community Outreach
Community/Behavioral Health Agency in Fontana, California
NPI 1619195740

Water Of Life Community Outreach is a Community/Behavioral Health Agency based in Fontana, CA. Water Of Life Community Outreach practices in Fontana, CA. The NPI Number for Water Of Life Community Outreach is 1619195740 and holds a License No. (California).

The current practice location address for Water Of Life Community Outreach is 7623 East Ave, Fontana, CA and can be reached out via phone at 909-463-0103 and via fax at 909-463-4840.

Location: 7623 East Ave, Fontana, CA, 92336-2901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619195740
Provider Name
Water Of Life Community Outreach
Credential
Provider Entity Type
Organization
Address
7623 East Ave, Fontana, CA, 92336-2901
Phone Number
909-463-0103
Fax Number
909-463-4840
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CMM71071F 05 CA
institution
Provider Business Practice Location Address Details
Address
7623 East Ave
City
Fontana
State
California
Zip
92336-2901
Phone Number
909-463-0103
Fax Number
909-463-4840
person
Provider Business Mailing Address Details
Address
7623 East Ave
City
Fontana
State
California
Zip
92336-2901
Phone Number
909-463-0103
Fax Number
909-463-4840
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
(California)
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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