Organization
COUNTY OF SAN BERNARDINO
Active
Parent organization
DEPARTMENT OF BEHAVIORAL HEALTH
Other names
Main Street Hesperia Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF BEHAVIORAL HEALTH
Authorized official
MR. MICHAEL J DAY (INFORMATION TECHNOLOGY MANAGER)
(909) 388-0570
Entity
Organization
Contact information
Practice address
14628 MAIN STREET, HESPERIA, CA 92345
(909) 382-3080
(909) 382-3105
Mailing address
268 W HOSPITALITY LANE, SUITE 400, SAN BERNARDINO, CA 92415-0026
(909) 382-3080
(909) 382-3105
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
ZZZ74743Z
CA
Other
Enumeration date
05/18/2007
Last updated
09/24/2009
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