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DEPARTMENT OF BEHAVIORAL HEALTH SAN BERNARDINO COUNTY NPI 1518550987


NPI Information

NPI: 1518550987
Provider Name: DEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTY

Other Name: PHOENIX SUBSTANCE USE DISORDER RECOVERY SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 05D2280013

Address:
820 E GILBERT ST
SAN BERNARDINO, CA
ZIP 92415
Phone: (909) 387-7200
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DEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTY 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. DEPARTMENT OF BEHAVIORAL HEALTH, SAN BERNARDINO COUNTY NPI is 1518550987. The provider is registered as an organization entity type.
The provider Other Name Is Phoenix Substance Use Disorder Recovery Services.

The provider's business location address is:

820 E GILBERT ST
SAN BERNARDINO, CA
ZIP 92415-928
Phone: (909) 387-7200
Fax: (909) 387-7717

The provider's authorized official is Erica Ochoa .
The authorized official title is Chief Compliance Officer and has the following contact phone number (909) 388-0879.

The CLIA number assigned to this NPI record is 05D2280013 - other - community outpatient clin with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2021 and was last updated on 9/7/2022.


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
1251S00000XCommunity/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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.