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Organization

TRI-CITY MENTAL HEALTH AUTHORITY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATALIE MAJORS (CHIEF COMPLIANCE OFFICER)
(909) 623-6131
Entity
Organization

Contact information

Practice address
2715 E ST, LA VERNE, CA 91750-4510
(909) 971-8205
Mailing address
1717 N INDIAN HILL BLVD STE B, CLAREMONT, CA 91711-2788

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W1208
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
CA
Enumeration date
02/21/2020
Last updated
06/04/2020
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