Organization
LIFESKILLS DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAYMOND ARTHUR BESSE QMHA, M.DIV, PSYD (DEPUTY DIRECTOR)
(917) 981-0503
Entity
Organization
Contact information
Practice address
6095 SHEPHERD DR, SAN BERNARDINO, CA 92407-2251
(917) 981-0503
Mailing address
6095 SHEPHERD DR, SAN BERNARDINO, CA 92407-2251
(917) 981-0503
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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