Organization
CITADEL COMMUNITY DEVELOPMENT CORPORATION
Active
Other names
Citadel Economic Development Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DONISE JACKSON (CHAIRMAN OF THE BOARD)
(909) 992-0929
Entity
Organization
Contact information
Practice address
937 VIA LATA, SUITE 500, COLTON, CA 92324-3958
(909) 992-0929
(909) 992-0932
Mailing address
568 N MOUNTAIN VIEW AVE, SAN BERNARDINO, CA 92401-1231
(909) 992-0929
(909) 992-0932
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/04/2014
Last updated
04/21/2022
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