Organization
HEALING STONES FOUNDATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE HILLARY NICHOLSON J.D. (EXECUTIVE DIRECTOR/CEO)
(760) 998-2988
Entity
Organization
Contact information
Practice address
13708 WOODPECKER RD, VICTORVILLE, CA 92394-7615
(760) 998-2988
(760) 998-2902
Mailing address
13312 RANCHERO RD STE 18, OAK HILLS, CA 92344-4802
(760) 998-2988
(760) 998-2902
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
CA
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
Primary
—
—
Other
Enumeration date
05/26/2018
Last updated
05/26/2018
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