# IMPACT NETWORK

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346127420
- **Authorized official:** MR. KEITH TOLBERT (CEO)
- **Authorized official phone:** (909) 478-4727

## Contact information

- **Practice address:** 2282 PUMALO ST, SAN BERNARDINO, CA 92404-3564
- **Practice address phone:** (909) 653-2484
- **Mailing address:** PO BOX 3177, SAN BERNARDINO, CA 92413-3177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |
| 342000000X | Transportation Network Company | — | NULL | — |
| 347E00000X | Transportation Broker | — | NULL | — |

## Other

- **Enumeration date:** 08/19/2025
- **Last updated:** 08/19/2025