| Youth Hope Licensed Clinical Social Worker Corp | |
|
255 N D St Ste 400 San Bernardino CA 92401-1715 | |
| (909) 567-2808 | |
| Not Available |
| Full Name | Youth Hope Licensed Clinical Social Worker Corp |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 255 N D St Ste 400, San Bernardino, California |
| Authorized Official Name and Position | Cecilia De Lorenzo (SECRETARY) |
| Authorized Official Contact | 9095672808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Youth Hope Licensed Clinical Social Worker Corp Po Box 264 Patton CA 92369-0264 Ph: (909) 567-2808 | Youth Hope Licensed Clinical Social Worker Corp 255 N D St Ste 400 San Bernardino CA 92401-1715 Ph: (909) 567-2808 |
| NPI Number | 1033779343 |
|---|---|
| Provider Enumeration Date | 06/18/2019 |
| Last Update Date | 06/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033779343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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