Organization
FAMILY SERVICE AGENCY OF FONTANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE LAURA EDGECOMBE MLS/AC (PRESIDENT/CEO)
(909) 886-6737
Entity
Organization
Contact information
Practice address
1661 N E ST, SAN BERNARDINO, CA 92405-4405
(909) 822-3533
(909) 822-3050
Mailing address
1669 NORTH E STREET, SAN BERNARDINO, CA 92405-4405
(909) 886-6737
(909) 881-3871
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/13/2008
Last updated
01/25/2013
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