Organization
COUNTY OF SAN BERNARDINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRISTIN DAWN ALFRED (MENTAL HEALTH SPECIALIST)
(909) 421-9233
Entity
Organization
Contact information
Practice address
850 E FOOTHILL BLVD, RIALTO, CA 92376-5230
(909) 534-8879
Mailing address
12346 FALENA ST, VICTORVILLE, CA 92392-8342
(909) 534-8879
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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