Organization · Type 2 NPI

County of San Bernardino

Adolescent and Children Mental Health Clinic/Center · San Bernardino, CA

NPI number 1679782759 Active

Practice location

900 E. Gilbert Street, Mobile A
San Bernardino, CA 92404

Call (909) 382-3080 Map

Fax (909) 382-3105

Mailing address

755 E Gilbert St
San Bernardino, CA 92404-5413

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	ZZZ74743Z (CA)

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Other adolescent and children mental health clinic/center providers in San Bernardino

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NPI record

NPI: 1679782759
Entity type: Organization (Type 2)
Issued: May 22, 2007
Last updated: May 9, 2023
Status: Active
Subpart: Yes of Department of Behavioral Health

Other names

<unavail>
Central Fast · doing business as
Central Fast · doing business as

Authorized official

Ms. Erica Ochoa
Chief Compliance Officer
(909) 388-0882

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 1679782759

County of San Bernardino's National Provider Identifier is 1679782759, issued on May 22, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in San Bernardino, CA. The record was last updated on May 9, 2023.