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BOYS & GIRLS CLUB
NPI 1093926826
Clinic/Center - Mental Health (Including Community Mental Health Center) in San Bernardino, CA

Active since May 24, 2007
1180 W 9TH ST, SAN BERNARDINO, CA 92411(909) 382-3080(909) 382-3105 Get Directions Write a Review

NPPES record last updated: September 24, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Boys & Girls Club NPPES

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

BOYS & GIRLS CLUB (NPI 1093926826) is a healthcare organization registered as a mental health (including community mental health center) in San Bernardino, California and active in the NPI registry since May 2007. The organization lists Michael J. Day, Information Technology Manager, as its authorized official.

NPPES Registry Identity

NPI1093926826
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameCOUNTY OF SAN BERNARDINO
Location Address1180 W 9TH STSan Bernardino, CA 92411-2212
Mailing Address268 W Hospitality Ln, Suite 400San Bernardino, CA 92415-0026 · (909) 382-3080 · Fax (909) 382-3105
Phone(909) 382-3080
Fax(909) 382-3105
Organization SubpartYesParent: Department Of Behavioral Health
Authorized OfficialMichael J. DayInformation Technology Manager · (909) 388-0570
Enumeration DateMay 24, 2007
Last NPPES UpdateSeptember 24, 2009
✔ NPI 1093926826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in CA · ZZZ74743Z
1180 W 9TH ST, San Bernardino, CA 92411
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Other Names 1

Doing Business AsBoys & Girls Club

Other Identifiers 2

Medicare PINZZZ21929ZCA
Other3600036BGCA · Medical Provider Number

Other Providers at the Same Location NPPES

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

MYRON DAMON LILLEY MSW
Social Worker (Clinical)
1180 W 9TH ST
SAN BERNARDINO, CA 92411
San Bernardino County (909) 388-4295

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 County Of San Bernardino's NPI number?

The NPI number for County Of San Bernardino is 1093926826. It was assigned to this organization in the NPPES registry on May 24, 2007. The provider is doing business as Boys & Girls Club.

Where is County Of San Bernardino located?

County Of San Bernardino is located at 1180 W 9th St, San Bernardino, CA 92411. The listed phone number is (909) 382-3080.

What is County Of San Bernardino's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for County Of San Bernardino was last updated on September 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.