CITADEL COMMUNITY CARE FACILITIES NPI 1134693153

NPI Information

  • NPI: 1134693153
  • Provider Name: CITADEL COMMUNITY CARE FACILITIES
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 568 N MOUNTAIN VIEW AVE
    SAN BERNARDINO, CA
    ZIP 92401
  • Phone: (909) 992-0929

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NPI Details

CITADEL COMMUNITY CARE FACILITIES is a community behavioral health in San Bernardino, CA. The provider is 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 disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. CITADEL COMMUNITY CARE FACILITIES NPI is 1134693153. 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 4/21/2022.

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 License Number License State Primary
1253J00000XFoster Care AgencyNo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenNo
3324500000XSubstance Abuse Rehabilitation FacilityNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM0850XClinic/CenterAdult Mental HealthNo
63245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenNo
7261QM0855XClinic/CenterAdolescent and Children Mental HealthNo
8261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
9251S00000XCommunity/Behavioral HealthYes

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: 11/21/2025

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