| Organization Name: | COUNTY OF SAN BERNARDINO |
| NPI Number: | 1033320940 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CASONYA THOMAS (DIRECTOR) |
| Mailing Address: | 17216 Slover Ave Fontana |
| State: | CA US |
| Postal Code: | 923377580 |
| Phone Number: | 9098543420 |
| Fax Number: | 9093823105 |
| NPI Enumeration Date: | 05/24/2007 |
| NPI Last Update Date: | 05/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | ZZZ74743Z |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |