WILLIAM BLACK

SAN BERNARDINO, CA
NPI1487218459
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-04-25
Last Update Date2022-08-02
Business Address
WILLIAM BLACK
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-885-6852
Mailing Address
WILLIAM BLACK
1100 N D ST
SAN BERNARDINO, CA 92410-3524
Phone number: 909-884-0840
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