Organization
CITADEL COMMUNITY OF CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONISE WARREN (MANAGER)
(951) 454-6928
Entity
Organization
Contact information
Practice address
568 N MOUNTAIN VIEW AVE, SAN BERNARDINO, CA 92401-1231
(877) 857-1077
Mailing address
568 N MOUNTAIN VIEW AVE, SAN BERNARDINO, CA 92401-1231
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
106S00000X
Behavior Technician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
02/07/2025
Last updated
02/07/2025
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