Group Home Support Services
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Banning, CA
NPI 1578893699 · NPPES record last updated May 25, 2011
Key facts
- NPI
- 1578893699
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- License
- 261QMO801X (CA)
- Legal business name
- GROUP HOME SUPPORT SERVICES
- Practice address
- 245 North Murray Street
Banning, CA 92220-5528 - Phone
- (951) 849-8812
- Fax
- (951) 755-8915
- NPI assigned
- Jan 12, 2010
- Organization subpart
- No
Authorized official
- Name
- Mrs. Sharon Heaston, MFT
- Title
- Executive Director
- Phone
- (909) 224-3942
Subparts reporting this organization as parent 1
Corporate family (same tax ID) 1
Practitioners 59
-
Amy Mariko Andersson, M.A.
-
Laquette Andrews, RRW
-
Marcella Adria Arnold, M.A., M.F.T. TRAINEE
-
Tim Bodiford, AOD
-
Angelica Castro, LMFT
-
Myette L Christian, MFTT
-
Josephine Chu, LMFT
-
Latrice Harris, MFT TRAINEE
National Provider Directory
- Tax ID family
- Group Home Support Services
Locations
245 N Murray St
Banning, CA 92220
Phone (951) 663-8366
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | 261QMO801X | CA | Yes |
Addresses
Primary practice location
245 North Murray Street
Banning, CA 92220-5528
Mailing address
245 North Murray Street
Banning, CA 92220-5528
Phone (951) 849-8812
Other names
- New Beginnings Addiction & Recovery Center
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- Howard I. Green
- Jessica Green
- Andrea Grout
- Carol L. Groves
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All providers in Banning, CA · Mental Health Clinic/Center (Including Community Mental Health Center) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.