Provider Demographics
NPI:1689995839
Name:ONTARIO-MONTCLAIR SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ONTARIO-MONTCLAIR SCHOOL DISTRICT
Other - Org Name:ONTARIO-MONTCLAIR SCHOOL DISTRICT COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-418-6445
Mailing Address - Street 1:950 W D ST
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-3026
Mailing Address - Country:US
Mailing Address - Phone:909-418-6445
Mailing Address - Fax:909-459-2542
Practice Address - Street 1:1515 S BON VIEW AVE
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-4408
Practice Address - Country:US
Practice Address - Phone:909-930-6793
Practice Address - Fax:909-930-6798
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ONTARIO-MONTCLAIR SCHOOL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-22
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251300000X, 251B00000X
CA251S00000X, 252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251300000XAgenciesLocal Education Agency (LEA)
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health