Organization
CATHOLIC CHARITIES SAN BERNARDINO/RIVERSIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN F. SAWA LCSW (CEO/EXECUTIVE VICE-PRESIDENT)
(909) 388-1239
Entity
Organization
Contact information
Practice address
23623 SUNNYMEAD BLVD, SUITE E, MORENO VALLEY, CA 92553-3083
(951) 924-9964
(951) 924-9997
Mailing address
1450 N D ST, SAN BERNARDINO, CA 92405-4739
(909) 388-1239
(909) 384-1130
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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