Organization · Type 2 NPI

County of San Bernardino

Mental Health Clinic/Center (Including Community Mental Health Center) · Hesperia, CA

NPI number 1154539765 Active

Practice location

14628 Main Street
Hesperia, CA 92345

Call (909) 382-3080 Map

Fax (909) 382-3105

Mailing address

268 W Hospitality Lane, Suite 400
San Bernardino, CA 92415-0026

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	ZZZ74743Z (CA)

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

NPI record

NPI: 1154539765
Entity type: Organization (Type 2)
Issued: May 18, 2007
Last updated: Sep 24, 2009
Status: Active
Subpart: Yes of Department of Behavioral Health

Other names

<unavail>
Main Street Hesperia Center · doing business as

Authorized official

Mr. Michael J Day
Information Technology Manager
(909) 388-0570

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1154539765

County of San Bernardino's National Provider Identifier is 1154539765, issued on May 18, 2007. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Hesperia, CA. The record was last updated on Sep 24, 2009.