Organization
ASANTE FAMILY AGENCY
Active
Organization
ASANTE FAMILY AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA UKIRU (DIRECTOR)
(909) 863-1186
Entity
Organization
Contact information
Practice address
2210 E HIGHLAND AVE, SUITE 101, SAN BERNARDINO, CA 92404-4671
(909) 863-1186
(909) 863-1188
Mailing address
2210 E HIGHLAND AVE, SUITE 101, SAN BERNARDINO, CA 92404-4671
(909) 863-1186
(909) 863-1188
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
LCS1467
CA
251K00000X
Public Health or Welfare Agency
LCS1467
CA
251S00000X
Community/Behavioral Health Agency
Primary
LCS1467
CA
251X00000X
Supports Brokerage Agency
LCS1467
CA
Other
Enumeration date
08/15/2008
Last updated
08/15/2008
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