CITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS NPI 1043784069

NPI Information

NPI: 1043784069
Provider Name: CITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
568 N MOUNTAIN VIEW AVE
SAN BERNARDINO, CA
ZIP 92401
Phone: (909) 992-0929
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CITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS is a community based residential treatment facility mental illness in San Bernardino, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. CITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS NPI is 1043784069. The provider is registered as an organization entity type.

The provider's business location address is:

568 N MOUNTAIN VIEW AVE
SAN BERNARDINO, CA
ZIP 92401-231
Phone: (909) 992-0929

The provider's authorized official is Annette Punimata .
The authorized official title is Executive Director and has the following contact phone number (909) 992-0929.

The enumeration date for this NPI number is 1/12/2019 and was last updated on 9/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	251B00000X	Case Management		No
2	322D00000X	Residential Treatment Facility, Emotionally Disturbed Children		No
3	324500000X	Substance Abuse Rehabilitation Facility		No
4	3245S0500X	Substance Abuse Rehabilitation Facility	Substance Abuse Treatment, Children	No
5	320800000X	Community Based Residential Treatment Facility, Mental Illness		Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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