Organization
KIDS FIRST FOUNDATION OF SAN BERNARDINO
Active
Other names
Kids First Foundation
Organization subpart
No
Provider details
NPI number
Authorized official
JENAE S HOLTZ LMFT (PRESIDENT)
(760) 596-7615
Entity
Organization
Contact information
Practice address
2155 CHICAGO AVE STE 203, RIVERSIDE, CA 92507-2209
(951) 990-9798
Mailing address
22099 US HIGHWAY 18 UNIT 411, APPLE VALLEY, CA 92307-8417
(951) 990-9798
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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