Provider First Line Business Practice Location Address:
210 W. SAN BERNARDINO RD.
Provider Second Line Business Practice Location Address:
ATTN. MENTAL HEALTH UNIT
Provider Business Practice Location Address City Name:
COVINA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-331-7331
Provider Business Practice Location Address Fax Number:
626-859-5854
Provider Enumeration Date:
09/12/2021