Organization
ACTS FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKE KERHULAS PH.D. (CAMPUS DIRECTOR)
(909) 877-5499
Entity
Organization
Contact information
Practice address
18136 JURUPA AVE, BLOOMINGTON, CA 92316-3009
(909) 877-5499
(909) 877-1343
Mailing address
18136 JURUPA AVE, BLOOMINGTON, CA 92316-3009
(909) 877-5499
(909) 877-1343
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
CA
Other
Enumeration date
06/13/2007
Last updated
08/22/2020
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