Organization · NPI-2

Catholic Charities San Bernardino/Riverside

Community/Behavioral Health · Moreno Valley, CA

NPI number1013218643
StatusActive
Last updated in NPPESNov 12, 2010

Details

NPI
1013218643
Entity type
Organization (NPI-2)
Legal business name
Catholic Charities San Bernardino/Riverside
Organization subpart
No
Enumeration date
Nov 12, 2010
Last updated
Nov 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

23623 Sunnymead Blvd
Suite E
Moreno Valley, CA 92553-3083

Phone 951-924-9964 · Fax 951-924-9997

Mailing address

1450 N D St
San Bernardino, CA 92405-4739

Phone 909-388-1239 · Fax 909-384-1130

Authorized official

Ken F. Sawa
Ceo/Executive Vice-President
9093881239

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