Organization
CITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS
Active
Parent organization
CITADEL COMMUNITY CARE FACILITIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CITADEL COMMUNITY CARE FACILITIES
Authorized official
ANNETTE PUNIMATA (EXECUTIVE DIRECTOR)
(909) 992-0929
Entity
Organization
Contact information
Practice address
568 N MOUNTAIN VIEW AVE, SAN BERNARDINO, CA 92401-1231
(909) 992-0929
Mailing address
568 N MOUNTAIN VIEW AVE, SAN BERNARDINO, CA 92401-1231
(909) 992-0929
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/12/2019
Last updated
04/21/2022
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