Gibson House For Men

LBN: Veterans Alcohol Rehabilitation Program
Gibson House For Men is an health care organization with primary practice located at 1100 N D St , San Bernardino CA 92410-3524. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Veterans Alcohol Rehabilitation Program can be contacted via phone (909) 381-3774, or through Mattazaro, Shelly via phone (909) 381-3774.

Contact Information

Primary practice address
1100 N D St San Bernardino CA 92410-3524
Phone: (909) 381-3774
Fax: (909) 381-6845
Website:
Map and Directions
Authorized official contact:
Name: Mattazaro, Shelly
Phone: (909) 381-3774

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 360004BN California

Profile Details

NPI number 1033311881
LBN Legal business name Veterans Alcohol Rehabilitation Program
DBA Doing business as Gibson House For Men
Authorized official Mattazaro, Shelly
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2007
Last updated Oct 12th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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