Provider First Line Business Practice Location Address:
658 E. BRIER DR., SUITE 200
Provider Second Line Business Practice Location Address:
CHILDREN YOUTH COLLABORATIVE SERVICES, DBH
Provider Business Practice Location Address City Name:
SAN BERNARDINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92415-0002
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-501-0700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/22/2007