Organization · Type 2 NPI

Water of Life Community Outreach

Community/Behavioral Health Agency · Fontana, CA

NPI number 1619195740 Active

Practice location

7623 East Ave
Fontana, CA 92336-2901

Fax (909) 463-4840

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1619195740

Water of Life Community Outreach's National Provider Identifier is 1619195740, issued on Apr 23, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Fontana, CA. The record was last updated on Jul 21, 2022.