Organization
FONTANA MENTAL HEALTH ALLIANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH N OBIKE DNP (NURSE PRACTITIONER)
(909) 641-5451
Entity
Organization
Contact information
Practice address
9431 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5878
(925) 785-7016
Mailing address
9431 HAVEN AVE, RANCHO CUCAMONGA, CA 91730-5878
(925) 785-7016
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/29/2024
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