SHADY GLEN FACILITY

SAN BERNARDINO, CA
NPI1003046566
Entity TypeOrganization
Authorized ContactPATRICIA STONE
Administrator
909-910-9604
Organization Subpart ?Yes
Primary Taxonomy261QD1600X Clinic/Center, Developmental Disabilities
(Licence: CA  360911227)
Enumeration Date2009-07-19
Last Update Date2009-07-29
Business Address
SHADY GLEN FACILITY
2571 SHADY GLEN LN
SAN BERNARDINO, CA 92408-4174
Phone number: 909-783-8806
Mailing Address
SHADY GLEN FACILITY
2571 SHADY GLEN LN
SAN BERNARDINO, CA 92408-4174
Phone number: 909-783-8806