Organization
LSS COMMUNITY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLEE SPENCER (SUPERVISOR)
(760) 256-7279
Entity
Organization
Contact information
Practice address
309 E MOUNTAIN VIEW ST, SUITE 100, BARSTOW, CA 92311-2814
(760) 256-7279
Mailing address
309 E MOUNTAIN VIEW STREET, SUITE 100, BARSTOW, CA 92311
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0
CA
Other
Enumeration date
11/06/2014
Last updated
07/21/2022
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