Organization
A NEW WAY HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTID DADO (CEO AND PRESIDENT)
(626) 419-6470
Entity
Organization
Contact information
Practice address
2999 KENDALL DR., STE 204 PMB 6004, SAN BERNARDINO, CA 92407
(800) 259-6061
Mailing address
1739 N VERDE AVE, RIALTO, CA 92376-2750
(626) 419-6470
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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