Provider Demographics
NPI:1104183763
Name:SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS
Entity Type:Organization
Organization Name:SAN BERNARDINO COUNTY SUPERINTENDENT OF SCHOOLS
Other - Org Name:SBCSS STU SVS COUN CNTR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR STUDENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:LAIHEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-387-8515
Mailing Address - Street 1:1950 S SUNWEST LN STE 300
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3225
Mailing Address - Country:US
Mailing Address - Phone:909-387-8515
Mailing Address - Fax:
Practice Address - Street 1:1812 W PARK AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-8014
Practice Address - Country:US
Practice Address - Phone:909-793-0535
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty