# SLM NURSING CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SLM Center for Mental Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215760400
- **Authorized official:** SOFIA MORAN PMHNP (NP AND OWNER)
- **Authorized official phone:** (840) 252-7774

## Contact information

- **Practice address:** 473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
- **Practice address phone:** (840) 252-7774
- **Practice address fax:** (840) 223-5913
- **Mailing address:** 473 E. CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
- **Mailing address phone:** (840) 252-7774
- **Mailing address fax:** (840) 223-5913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2024
- **Last updated:** 12/01/2024