Merrill Community Serv INC
NPI #1962699751 in Fontana, California
Provider Information
- NPI Number
- 1962699751
- Entity Type
- Organization
- Organization Name
- Merrill Community Serv INC
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Sep 26, 2007
- Last Updated
- Mar 3, 2009
Practice Location
- Address
- 9161 SIERRA AVE
- Address 2
- SUITE 200
- City
- Fontana
- State
- California
- ZIP Code
- 92335-4729
- Phone
- (909) 823-0609
Authorized Official
- Name
- MR. WARREN DEAVON BATISTE
- Title
- EXECUTIVE DIRECTOR
- Phone
- (909) 823-0609
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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