Children'S Crisis Response Team Morongo Basin in San Bernardino - Adolescent And Children Mental Health

Children'S Crisis Response Team Morongo Basin - NPI 1699976597

Children'S Crisis Response Team Morongo Basin is a Adolescent And Children Mental Health in San Bernardino, California. Children'S Crisis Response Team Morongo Basin practices all healthcare services and medical treatments related to Adolescent And Children Mental Health. The NPI Number for Children'S Crisis Response Team Morongo Basin is 1699976597. The last update date is 2007-07-13.

Children'S Crisis Response Team Morongo Basin's current location address is 268 W. Hospitality Lane, San Bernardino, California. You can contact this provider via phone number 9093823080 and fax number 9093823105. The mailing address for Children'S Crisis Response Team Morongo Basin is 268 W. Hospitality Lane, San Bernardino, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Children'S Crisis Response Team Morongo Basin
Address 268 W. Hospitality Lane, San Bernardino, California
Phone Number 9093823080
Fax Number 9093823105
Sole Proprietor --
Credentials --

Authorized Official

Title or Position INFORMATIO
Authorized Official Name Day J Michael
Telephone Number 9093880570

NPI Number Detail

NPI Number 1699976597
Provider Enumeration Date 2007-05-29
Last Updated Date 2007-07-13

Provider Mailing Address Detail

Address 268 W. Hospitality Lane
City San Bernardino
State California (CA)
Post Code 924150026
Phone Number 9093823080
Fax Number 9093823105

Provider's Primary Taxonomy Detail

Speciality Adolescent And Children Mental Health
Taxonomy 261Qm0855X
Licence No ZZZ74743Z
Definition:
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 patie

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3600036DG CA MEDICAL PROVIDER NUMBER

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FAQs about Children'S Crisis Response Team Morongo Basin

What is the unique identification code assigned to Children'S Crisis Response Team Morongo Basin by the Centers for Medicare & Medicaid Services?

The Children'S Crisis Response Team Morongo Basin has been issued the NPI (National Provider Identifier) 1699976597. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Children'S Crisis Response Team Morongo Basin?

The Children'S Crisis Response Team Morongo Basin is physically situated at 268 W. Hospitality Lane, in the city of San Bernardino, state of CA, with the postal code 924150026.

What is Children'S Crisis Response Team Morongo Basin's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Children'S Crisis Response Team Morongo Basin is Adolescent And Children Mental Health, and the taxonomy classification code that categorizes this area of expertise is 261Qm0855X.

On what date did the Children'S Crisis Response Team Morongo Basin receive the assignment of its 1699976597 from the Centers for Medicare & Medicaid Services?

The Children'S Crisis Response Team Morongo Basin was issued its 1699976597 by the Centers for Medicare & Medicaid Services on 2007-05-29.

When was the information related to Children'S Crisis Response Team Morongo Basin most recently updated or refreshed?

The details pertaining to the Children'S Crisis Response Team Morongo Basin, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-13.

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