| Organization Name: | CHINO MENTAL HEALTH ASSOCIATES |
| NPI Number: | 1063639623 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAUREEN ANTOINETTE BURNEY (OWNER) |
| Mailing Address: | 13751 Roswell Ave Suite A Chino |
| State: | CA US |
| Postal Code: | 917105464 |
| Phone Number: | 9095914033 |
| Fax Number: | 9099026055 |
| NPI Enumeration Date: | 04/18/2007 |
| NPI Last Update Date: | 10/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PSY12728 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |