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Organization
SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH
Active
Organization
SAN BERNARDINO COUNTY DEPARTMENT OF BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN LATTA-CLARK (MENTAL HEALTH CLINIC SUPERVISOR)
(909) 387-7385
Entity
Organization
Contact information
Practice address
780 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 387-7382
Mailing address
780 E GILBERT ST, SAN BERNARDINO, CA 92415-1003
(909) 387-7382
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
ASW62959
CA
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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