Provider Demographics
NPI:1689813370
Name:BEHAVIORAL HELATH
Entity Type:Organization
Organization Name:BEHAVIORAL HELATH
Other - Org Name:PERINATAL
Other - Org Type:Other Name
Authorized Official - Title/Position:OFFICE ASSISTANT III
Authorized Official - Prefix:
Authorized Official - First Name:ALMA
Authorized Official - Middle Name:DELIA
Authorized Official - Last Name:ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-421-9209
Mailing Address - Street 1:850 E FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-5230
Mailing Address - Country:US
Mailing Address - Phone:909-421-9209
Mailing Address - Fax:909-421-9457
Practice Address - Street 1:850 E FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-5230
Practice Address - Country:US
Practice Address - Phone:909-421-9209
Practice Address - Fax:909-421-9457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility