Organization · Type 2 NPI

County of San Bernardino

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

NPI number 1760679963 Active

Practice location

658 E Brier Dr Suite 200
San Bernardino, CA 92415-0920

Call (909) 501-0700 Map

Fax (909) 381-2330

Mailing address

303 E Vanderbilt Way
San Bernardino, CA 92415-0026

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.

Another provider at this address

Taylor ComstockMarriage & Family Therapist San Bernardino, CA NPI 1235685850

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

See all in San Bernardino →

NPI record

NPI: 1760679963
Entity type: Organization (Type 2)
Issued: Oct 2, 2007
Last updated: Apr 27, 2022
Status: Active
Subpart: Yes of Department of Behavioral Health

Other names

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Juvenile Court BH Services · doing business as
Juvenile Court BH Services · doing business as

Authorized official

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 1760679963

County of San Bernardino's National Provider Identifier is 1760679963, issued on Oct 2, 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 Apr 27, 2022.