COUNTY OF SAN BERNARDINO NPI 1962612549

NPI Information

COUNTY OF SAN BERNARDINO is a mental health (including community mental health center) clinic center in Ontario, CA. COUNTY OF SAN BERNARDINO NPI is 1962612549. The provider is registered as an organization entity type.
The provider Is Doing Business As Mariposa Community Counseling.

The provider's business location address is:

2940 INLAND EMPIRE BLVD
ONTARIO, CA
ZIP 91764-898
Phone: (909) 458-1350

The provider's authorized official is Casonya Thomas .
The authorized official title is Director and has the following contact phone number (909) 388-0801.

The CLIA number assigned to this NPI record is 05D2188393 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 9/10/2014.

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:

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