Organization
COUNTY OF SAN BERNARDINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLAUDIA RAMIREZ (OFFICE ASST II)
(909) 463-7678
Entity
Organization
Contact information
Practice address
9500 ETIWANDA AVE, RANCHO CUCAMONGA, CA 91739-9662
(909) 463-7678
(909) 463-7502
Mailing address
9500 ETIWANDA AVE, RANCHO CUCAMONGA, CA 91739-9662
(909) 463-7678
(909) 463-7502
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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