Organization
FOUNDATION FOR CALIFORNIA STATE UNIVERSITY SAN BERNARDINO
Active
Other names
START Pediatric Neurodevelopmental Assessment and Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH BURNS (GENERAL MANAGER)
(909) 537-3939
Entity
Organization
Contact information
Practice address
165 W HOSPITALITY LN, SUITE 12, SAN BERNARDINO, CA 92408-3334
(909) 891-1880
(909) 891-1888
Mailing address
5500 UNIVERSITY PKWY, SAN BERNARDINO, CA 92407-2318
(909) 537-3939
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Enumeration date
01/04/2008
Last updated
01/04/2008
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