Organization
GREAT MIND COUNSELING AND SKILL BUILDING CENTER LLC
Active
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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