Provider First Line Business Practice Location Address:
101 E REDLAND BLVD
Provider Second Line Business Practice Location Address:
SUITE 215 INLAND PSYCHIATRIC MEDICAL GROUP INC
Provider Business Practice Location Address City Name:
REDLANDS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92373
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-335-3026
Provider Business Practice Location Address Fax Number:
909-335-3167
Provider Enumeration Date:
05/23/2006