Organization
ORCHID COURT, INC.
Active
Parent organization
ORCHID COURT, INC.
Other names
Orchid Court, Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORCHID COURT, INC.
Authorized official
MR. CLODOVEO R. GOSUICO III (ADMINISTRATOR)
(909) 884-3044
Entity
Organization
Contact information
Practice address
307 S ARROWHEAD AVENUE, SAN BERNARDINO, CA 92408-1325
(909) 884-3044
(909) 884-3044
Mailing address
307 S ARROWHEAD AVENUE, SAN BERNARDINO, CA 92408-1325
(909) 884-3044
(909) 884-3044
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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