Centralized Child Intensive Case Mgmt Services - Mental Health Clinic in San Bernardino, CA

Centralized Child Intensive Case Mgmt Services is a mental health clinic (Clinic/center - Adolescent And Children Mental Health) in San Bernardino, California. The current practice location for Centralized Child Intensive Case Mgmt Services is 658 E Brier Dr Ste 200, San Bernardino, California. For appointments, you can reach them via phone at (909) 501-0700. The mailing address for Centralized Child Intensive Case Mgmt Services is 303 E Vanderbilt Way, San Bernardino, California and phone number is (909) 388-0801.

Centralized Child Intensive Case Mgmt Services is licensed to practice in California (license number ) and its NPI number is 1043415037. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (909) 501-0700.

Contact Information

Centralized Child Intensive Case Mgmt Services
658 E Brier Dr Ste 200
San Bernardino
CA 92408-2847
(909) 501-0700
(909) 381-2330

Mental Health Clinic Profile

Full NameCentralized Child Intensive Case Mgmt Services
SpecialityClinic/center - Adolescent And Children Mental Health
Location658 E Brier Dr Ste 200, San Bernardino, California
Authorized Official Name and PositionErica Ochoa (CHIEF COMPLIANCE OFFICER)
Authorized Official Contact9093880882
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Centralized Child Intensive Case Mgmt Services
303 E Vanderbilt Way
San Bernardino
CA 92415-0026

Ph: (909) 388-0801
Centralized Child Intensive Case Mgmt Services
658 E Brier Dr Ste 200
San Bernardino
CA 92408-2847

Ph: (909) 501-0700

NPI Details:

NPI Number1043415037
Provider Enumeration Date06/19/2007
Last Update Date06/16/2022
Certification Date06/16/2022

Medical Identifiers

Medical identifiers for Centralized Child Intensive Case Mgmt Services such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043415037NPI-NPPES
360003681OtherCAMEDICAL PROVIDER NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health (California)Primary

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Clinic/Center in San Bernardino, CA

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