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Organization
PSYCHIATRIC & COUNSELING MEDICAL CLINICS, INC.
Active
Organization
PSYCHIATRIC & COUNSELING MEDICAL CLINICS, INC.
Active
Other names
Forensic Psychiatric Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDRA DIANE DESILVA M.D. (VICE PRESIDENT)
(909) 885-5608
Entity
Organization
Contact information
Practice address
1830 COMMERCENTER E, SAN BERNARDINO, CA 92408-3406
(909) 885-5608
(909) 889-7096
Mailing address
PO BOX 6306, SAN BERNARDINO, CA 92412-6306
(909) 885-5608
(909) 889-7096
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A29607
CA
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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