Provider Demographics
NPI:1235553843
Name:BENCHMARK YOUNG ADULT SCHOOL, INC.
Entity Type:Organization
Organization Name:BENCHMARK YOUNG ADULT SCHOOL, INC.
Other - Org Name:BENCHMARK TRANSITIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:
Authorized Official - Last Name:TARDIFF
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:909-451-8334
Mailing Address - Street 1:1910 ORANGE TREE LN STE 300
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4500
Mailing Address - Country:US
Mailing Address - Phone:909-351-4347
Mailing Address - Fax:909-793-5090
Practice Address - Street 1:1906 ORANGE TREE LN STE 220
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4511
Practice Address - Country:US
Practice Address - Phone:800-474-4848
Practice Address - Fax:909-793-5090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health