Organization
BRIDGE VISION LICENSED CLINICAL SOCIAL WORKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN NOMSA CHALI PSYD, LCSW (CLINICAL DIRECTOR)
(909) 936-3888
Entity
Organization
Contact information
Practice address
357 W 2ND ST STE 3, SAN BERNARDINO, CA 92401-1803
(909) 936-3888
(909) 635-6173
Mailing address
255 N D ST, SUITE 401H, SAN BERNARDINO, CA 92401
(909) 936-3888
(909) 635-6173
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCSW29187
CA
Other
Enumeration date
04/29/2016
Last updated
10/18/2019
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