Organization
BERHE GROUP HOME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUNICE RENEE COX (OFFICE ASSISTANT)
(909) 713-2016
Entity
Organization
Contact information
Practice address
9034 CHANTRY AVE, FONTANA, CA 92335-4613
(909) 357-7449
(909) 887-0160
Mailing address
9034 CHANTRY AVE, FONTANA, CA 92335-4613
(909) 357-7449
(909) 887-0160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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