WEST VALLEY FAST is an adolescent and children mental health clinic center in Rancho Cucamonga, CA. The provider is 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. WEST VALLEY FAST NPI is 1669681961. The provider is registered as an organization entity type.
The provider's business location address is:
9478 ETIWANDA AVE
RANCHO CUCAMONGA, CA
ZIP 91739-662
Phone: (909) 382-3080
Fax: (909) 382-3105
The provider's authorized official is Michael J Day .
The authorized official title is Business Application Manager and has the following contact phone number (909) 382-3080.
The CLIA number assigned to this NPI record is 05D2190011 - other - county jail with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/13/2007.