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Organization

CATHOLIC CHARITIES SAN BERNARDINO/RIVERSIDE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KEN F. SAWA LCSW (CEO/EXECUTIVE VICE-PRESIDENT)
(909) 388-1239
Entity
Organization

Contact information

Practice address
81626 US HIGHWAY 111, INDIO, CA 92201-5413
(760) 342-0157
(760) 342-0341
Mailing address
1450 N D ST, SAN BERNARDINO, CA 92405-4739
(909) 388-1239
(909) 384-1130

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
11/12/2010
Last updated
11/12/2010
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