Dpartment of Behavioral Health
NPI #1154503969 in Ontario, California
Provider Information
- NPI Number
- 1154503969
- Entity Type
- Organization
- Organization Name
- Dpartment of Behavioral Health
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Dec 4, 2007
- Last Updated
- Dec 4, 2007
Practice Location
- Address
- 1637 E HOLT BLVD
- City
- Ontario
- State
- California
- ZIP Code
- 91761-2107
- Phone
- (909) 458-9487
Authorized Official
- Name
- DR. EUGENE CARLSON
- Title
- CLINIC SUPERVISOR
- Phone
- (909) 458-9487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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