Group Home Support Services
NPI #1578893699 in Banning, California
Provider Information
- NPI Number
- 1578893699
- Entity Type
- Organization
- Organization Name
- Group Home Support Services
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jan 12, 2010
- Last Updated
- May 25, 2011
Practice Location
- Address
- 245 NORTH MURRAY STREET
- City
- Banning
- State
- California
- ZIP Code
- 92220-5528
- Phone
- (951) 849-8812
Authorized Official
- Name
- MRS. SHARON HEASTON, MFT
- Title
- EXECUTIVE DIRECTOR
- Phone
- (909) 224-3942
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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