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Organization

FAMILY SERVICE AGENCY OF SAN BERNARDINO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICE J CORMICAN (CEO)
(909) 886-6737
Entity
Organization

Contact information

Practice address
9161 SIERRA AVE, SUITE 212, FONTANA, CA 92335-4729
(909) 822-3533
(909) 822-3050
Mailing address
1669 N E ST, SAN BERNARDINO, CA 92405-4405
(909) 886-6737
(909) 881-3871

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
07/24/2014
Last updated
07/24/2014
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