CITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS
NPI 1043784069
Community Based Residential Treatment Facility, Mental Illness in San Bernardino, CA

Active since January 12, 2019
568 N MOUNTAIN VIEW AVE, SAN BERNARDINO, CA 92401(909) 992-0929 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2022, Sep 28, 2021, Jan 12, 2019 (3 updates tracked since 2019).

About Citadel Short Term Specialty Treatment Programs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS (NPI 1043784069) is a healthcare organization registered as a community based residential treatment facility, mental illness in San Bernardino, California and active in the NPI registry since January 2019. The organization lists Annette Punimata, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1043784069
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameCITADEL SHORT TERM SPECIALTY TREATMENT PROGRAMS
Location Address568 N MOUNTAIN VIEW AVESan Bernardino, CA 92401-1231
Mailing Address568 N Mountain View AveSan Bernardino, CA 92401-1231 · (909) 992-0929
Organization SubpartYesParent: Citadel Community Care Facilities
Authorized OfficialAnnette PunimataExecutive Director · (909) 992-0929
Enumeration DateJanuary 12, 2019
Last NPPES UpdateApril 21, 20223 updates tracked since enumeration
NPPES CertifiedApril 21, 2022
NPI 1043784069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X
568 N MOUNTAIN VIEW AVE, San Bernardino, CA 92401

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
568 N MOUNTAIN VIEW AVE
SAN BERNARDINO, CA 92401
Clinic/Center
568 N MOUNTAIN VIEW AVE
SAN BERNARDINO, CA 92401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Citadel Short Term Specialty Treatment Programs's NPI number?

The NPI number for Citadel Short Term Specialty Treatment Programs is 1043784069. It was assigned to this organization in the NPPES registry on January 12, 2019.

Where is Citadel Short Term Specialty Treatment Programs located?

Citadel Short Term Specialty Treatment Programs is located at 568 N Mountain View Ave, San Bernardino, CA 92401. The listed phone number is (909) 992-0929.

What is Citadel Short Term Specialty Treatment Programs's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Citadel Short Term Specialty Treatment Programs was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.