Organization
CORRECTIONAL HEALTH TREATMENT CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY MARTIN MANAGING DIRECTOR (MANAGING DIRECTOR)
(800) 842-1598
Entity
Organization
Contact information
Practice address
473 S CARNEGIE DR STE 200, SAN BERNARDINO, CA 92408-4201
(888) 506-5609
(909) 884-0388
Mailing address
473 S CARNEGIE DR STE 200, SAN BERNARDINO, CA 92408-4201
(888) 506-5609
(909) 884-0388
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
04/25/2023
Last updated
03/27/2026
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