| Pride | |
|
1874 Business Center Dr Ste B San Bernardino CA 92408-3457 | |
| (909) 386-0437 | |
| (909) 386-0529 |
| Full Name | Pride |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1874 Business Center Dr Ste B, San Bernardino, California |
| Authorized Official Name and Position | James C. Callaghan (PRESIDENT/CEO) |
| Authorized Official Contact | 8585732600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pride 9465 Farnham San Diego CA 92123 Ph: (858) 573-2600 | Pride 1874 Business Center Dr Ste B San Bernardino CA 92408-3457 Ph: (909) 386-0437 |
| NPI Number | 1033247812 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033247812 | NPI | - | NPPES |
| 3628 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
News Archive
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