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Organization
TRI-CITY MENTAL HEALTH AUTHORITY
Active
Organization
TRI-CITY MENTAL HEALTH AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MAJORS (CHIEF COMPLIANCE OFFICER)
(909) 623-6131
Entity
Organization
Contact information
Practice address
3102 D ST, LA VERNE, CA 91750-4023
(909) 766-7340
Mailing address
1717 N INDIAN HILL BLVD STE B, CLAREMONT, CA 91711-2788
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W1208
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
CA
Enumeration date
02/20/2020
Last updated
05/10/2021
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