Organization
TRI-CITY MENTAL HEALTH AUTHORITY
Active
Other names
Tri City Mental Health Authority
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE MAJORS (CHIEF COMPLIANCE OFFICER)
(909) 623-6131
Entity
Organization
Contact information
Practice address
1900 ROYALTY DR, SUITES 160,170,180,205,280 & 290, POMONA, CA 91767-3032
(909) 784-3200
(909) 865-0730
Mailing address
1717 N INDIAN HILL BLVD, UNIT B, CLAREMONT, CA 91711-2788
(909) 784-3250
(909) 623-4073
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W1208
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
CA
Enumeration date
06/07/2010
Last updated
07/21/2022
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