Gittens, Horatius

Gittens, Horatius is an sole proprietor health care provider with primary practice located at 1053 N D St , San Bernardino CA 92410-3521. He recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as his primary health care specialty. Gittens, Horatius can be contacted via phone (909) 763-5500.

Contact Information

Primary practice address
1053 N D St San Bernardino CA 92410-3521
Phone: (909) 763-5500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1679905137
LBN Legal business name Gittens, Horatius
Credentials MFTI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2013
Last updated Aug 6th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679905137 NPPES
California Other 00188 LEGAL ENTITY NUMBER

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