Alfreda Yvonne Bantum in Riverside - Community/behavioral Health
Alfreda Yvonne Bantum - NPI 1982823944
Alfreda Yvonne Bantum is a Community/behavioral Health in Riverside, California. Alfreda Yvonne Bantum practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Alfreda Yvonne Bantum is 1982823944. The last update date is 2013-03-15.
Alfreda Yvonne Bantum's current location address is 20426 Tobira Ln, Riverside, California. You can contact this provider via phone number 9517569637. The mailing address for Alfreda Yvonne Bantum is 20426 Tobira Ln, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alfreda Yvonne Bantum |
|---|---|
| Address | 20426 Tobira Ln, Riverside, California |
| Phone Number | 9517569637 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1982823944 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2013-03-15 |
Provider Mailing Address Detail
| Address | 20426 Tobira Ln |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925083030 |
| Phone Number | 9517569637 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: 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 dis |
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What is the Alfreda Yvonne Bantum's 1982823944?
The Alfreda Yvonne Bantum's NPI (National Provider Identifier) Number is 1982823944. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Alfreda Yvonne Bantum is physically located?
The Alfreda Yvonne Bantum is physically situated at the following address: 20426 Tobira Ln, Riverside, CA, 925083030.
What is Alfreda Yvonne Bantum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alfreda Yvonne Bantum is Community/behavioral Health, and the corresponding taxonomy classification code for this specialized field is 251S00000X.
On what date did Alfreda Yvonne Bantum receive its 1982823944 assignment from the Centers for Medicare & Medicaid Services?
The Alfreda Yvonne Bantum was assigned its 1982823944 on 2007-04-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Alfreda Yvonne Bantum's details last updated?
The information pertaining to the Alfreda Yvonne Bantum, including its address, specialty, and other details, was most recently updated on 2013-03-15.