Organization
GREAT MIND COUNSELING AND SKILL BUILDING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIMOUNA CANTRALL (BUSINESS OWNER)
(702) 589-0701
Entity
Organization
Contact information
Practice address
441 MACKAY DR, SAN BERNARDINO, CA 92408-3230
(702) 589-0701
Mailing address
441 MACKAY DR, SAN BERNARDINO, CA 92408-3230
(702) 589-0701
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/18/2024
Last updated
02/14/2025
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