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Organization
CENTER FOR BLACK WELLNESS & EXCELLENCE SOCIAL PURPOSE CORPORATION
Active
Organization
CENTER FOR BLACK WELLNESS & EXCELLENCE SOCIAL PURPOSE CORPORATION
Active
Other names
CBWE
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMELLE PARKER MSW (CEO & PRESIDENT)
(909) 505-0557
Entity
Organization
Contact information
Practice address
473 E. CARNEGIE DR., SUITE 200, SAN BERNARDINO, CA 92408
(909) 505-0557
Mailing address
473 E CARNEGIE DRIVE, SUITE 200, SAN BERNARDINO, CA 92408
(909) 505-0557
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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