NPI:
1255523759
Provider Name:
WHITNEY YOUNG FAMILY HEALTH CLINIC
Other Name: INLAND BEHAVIORAL & HEALTH SERVICES, INC.
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
CLIA Number: 05D2078272
Address:
1755 MAPLE ST
SAN BERNARDINO, CA
ZIP 92411
Phone:
(909) 386-7600
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WHITNEY YOUNG FAMILY HEALTH CLINIC is a federally qualified health center (fqhc) clinic center in San Bernardino, CA. WHITNEY YOUNG FAMILY HEALTH CLINIC NPI is 1255523759. The provider is registered as an organization entity type.
The provider Other Name Is Inland Behavioral & Health Services, Inc..
The provider's business location address is:
1755 MAPLE ST
SAN BERNARDINO, CA
ZIP 92411-441
Phone: (909) 386-7600
Fax: (909) 386-7580
The provider's authorized official is Temetry Ann Lindsey .
The authorized official title is Ceo/president and has the following contact phone number (909) 881-6146.
The CLIA number assigned to this NPI record is 05D2078272 - federally qualified health center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/17/2007 and was last updated on 8/6/2015.