Individual
GREGORY STILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2302 DONALD ST, SAN BERNARDINO, CA 92407-6475
(808) 743-5360
Mailing address
2302 DONALD ST, SAN BERNARDINO, CA 92407-6475
(808) 743-5360
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
202022010219
CA
Other
Enumeration date
01/20/2026
Last updated
01/20/2026
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