Organization
BEHAVIORAL AWARENESS CENTER OF SAN BERNARDINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY WALKER (CHIEF EXECUTIVE OFFICE)
(760) 947-2600
Entity
Organization
Contact information
Practice address
15278 MAIN ST, STE C, HESPERIA, CA 92345-3300
(760) 947-2400
Mailing address
15278 MAIN ST, STE C, HESPERIA, CA 92345-3300
(760) 947-2400
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
15947
CA
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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