| Citadel Community Care Facilities | |
|
568 N Mountain View Ave San Bernardino CA 92401-1231 | |
| (909) 992-0929 | |
| Not Available |
| Full Name | Citadel Community Care Facilities |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 568 N Mountain View Ave, San Bernardino, California |
| Authorized Official Name and Position | Annette Punimata (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9099920929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Citadel Community Care Facilities 568 N Mountain View Ave San Bernardino CA 92401-1231 Ph: (909) 992-0929 | Citadel Community Care Facilities 568 N Mountain View Ave San Bernardino CA 92401-1231 Ph: (909) 992-0929 |
| NPI Number | 1134693153 |
|---|---|
| Provider Enumeration Date | 01/12/2019 |
| Last Update Date | 04/21/2022 |
| Certification Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134693153 | NPI | - | NPPES |
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