| Organization Name: | COUNTY OF SAN BERNARDINO |
| NPI Number: | 1326257403 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL J. DAY (INFORMATION TECHNOLOGY MANAGER) |
| Mailing Address: | 32700 Old Woman Springs Road Suite C Lucerne Valley |
| State: | CA US |
| Postal Code: | 92356 |
| Phone Number: | 9093823080 |
| Fax Number: | 9093823105 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 07/22/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | ZZZ74743Z |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |