Organization
COUNTY OF SAN BERNARDINO
Active
Parent organization
DEPARTMENT OF BEHAVIORAL HEALTH
Other names
Central FAST
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEPARTMENT OF BEHAVIORAL HEALTH
Authorized official
MS. ERICA OCHOA (CHIEF COMPLIANCE OFFICER)
(909) 388-0882
Entity
Organization
Contact information
Practice address
900 E. GILBERT STREET, MOBILE A, SAN BERNARDINO, CA 92404
(909) 382-3080
(909) 382-3105
Mailing address
755 E GILBERT ST, SAN BERNARDINO, CA 92404-5413
(909) 387-7792
(909) 890-0435
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
ZZZ74743Z
CA
Other
Enumeration date
05/22/2007
Last updated
05/09/2023
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