Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHADY GLEN FACILITY
Active OrganizationSHADY GLEN FACILITY is a Developmental Disabilities Clinic organization located in SAN BERNARDINO, California. NPI 1003046566 is currently active in the NPPES registry. Verify at CMS.
Developmental Disabilities Clinic · SAN BERNARDINO, CA
Registration Details
- NPI Number
- 1003046566
- Provider Type
- Organization
- NPI Issued
- Jul 19, 2009 (16.885410030308 yrs)
- Last Updated
- Jul 29, 2009
- License
-
360911227 (CA)
Practice Information
- Address
-
2571 SHADY GLEN LNSAN BERNARDINO, CA, 924084174Browse CA providers · Browse ZIP 92408
- Phone
- 9097838806
- Primary Specialty
-
Developmental Disabilities Clinic
261QD1600X
Other Developmental Disabilities Clinic Organizations in SAN BERNARDINO, CA
| Name | NPI |
|---|---|
| BEACON BEHAVIOR CONSULTANTS | 1437887189 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.