Behavioral Awareness Center of San Bernardino

Organization Active NPI Community/Behavioral Health Agency · Hesperia, CA

NPI 1780005058 · NPPES record last updated Jan 3, 2014

Key facts

NPI
1780005058
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
15947 (CA)
Legal business name
BEHAVIORAL AWARENESS CENTER OF SAN BERNARDINO
Practice address
15278 Main St
Ste C
Hesperia, CA 92345-3300
Phone
(760) 947-2400
NPI assigned
Jan 3, 2014
Organization subpart
No

Authorized official

Name
Gregory Walker
Title
Chief Executive Office
Phone
(760) 947-2600

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 15947 CA Yes

Addresses

Primary practice location

15278 Main St
Ste C
Hesperia, CA 92345-3300

Mailing address

15278 Main St
Ste C
Hesperia, CA 92345-3300
Phone (760) 947-2400

Other providers in Hesperia, CA

All providers in Hesperia, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.