Organization
ASANTE FAMILY AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA UKIRU MPH, MSW (DIRECTOR)
(909) 383-3322
Entity
Organization
Contact information
Practice address
1255 E HIGHLAND AVE STE 107, SAN BERNARDINO, CA 92404-4652
(909) 383-3332
Mailing address
1255 E HIGHLAND AVE STE 107, SAN BERNARDINO, CA 92404-4652
(909) 383-3332
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
04/08/2010
Last updated
04/08/2010
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