Organization
FAMILY SERVICE AGENCY OF SAN BERNARDINO
Active
Organization
FAMILY SERVICE AGENCY OF SAN BERNARDINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICE J CORMICAN (CEO)
(909) 886-6737
Entity
Organization
Contact information
Practice address
109 1/2 N 7TH AVE, BARSTOW, CA 92311-2337
(760) 256-9326
(760) 256-9326
Mailing address
1669 N E ST, 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
07/24/2014
Last updated
10/02/2014
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