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PROVIDER DIRECTORY
November 2021
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SCREENING ASSESSMENT AND REFERRAL CENTER (SARC)
By calling the 24/7 Beneficiary Access line you will be connected
to a SARC staff member who can conduct a confidential phone
screening for substance use disorder treatment placement.
Once the screening has been completed, the SARC staff member will
assist you in determining the best treatment option to meet your
needs.
SARC phone screening services are available for both:
Adults (18 and over) Adolescents (12 through 17 years)
To request a phone screening call the Beneficiary Access Line (BAL)
at (800) 968-2636
City: San Bernardino Provider: Screening, Assessment & Referral
Center (SARC) Address: 658 East Brier Drive, Suite 350, San
Bernardino, 92408 Phone: (800)-968-2636 Fax: (909) 501-0832
RESIDENTIAL TREATMENT PROGRAM Substance Use Disorder services
provided in a home-like setting, while attending treatment
services; such as group counseling, individual counseling, alcohol
and drug education. All Residential Treatment services receive
prior-authorization by the Department of Behavioral Health –
Substance Use Disorder and Recovery Services. City:
Bloomington
Provider: Cedar House Life Change Center
Service Type: Residential Treatment
Level of Care: 3.1 & 3.5
NPI # 1861648412 Website: cedarhouse.org Phone: (909) 421-7120
Provider Group Affiliation: Social Science Services,
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum is offered Populations
Served: All Adult Populations Including: Adult (18+), CalWORKs,
CFS, AB109 Rendering Provider List: Cedar House Life Change
Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competen ce Training
Valdez Michael 1205923224 MBC G79406 Yes Smith Kathleen 1467896035
BBS LMFT53298 Yes Carrillo Yvonne 1174830343 CCAPP C11661214 Yes
O’Hearn Mayra 1558830687 CCAPP Ci31011020 Yes Rodriguez Michael
1174044416 CCAPP C053120518 Yes Orozco Andrew 1245709377 CCAPP
R1260950817 Yes Olalde Virginia 1053884841 CCAPP R1319780818 Yes
Hall Dawn 1578026092 CAADE 2013128 II Yes Cooney Deirdre 1760987820
CAADE 1911963 III Yes Aceves Karina 1346875093 CCAPP R1373331219
Yes Mitchell Cherie 1396268769 CCAPP A044020317 Yes Mansfield
Salena 1467836965 CCAPP AII055730518 Yes Perine Nolan 1306088935
CCAPP C14141214 Yes Lewis Christopher 1275092397 CCAPP 1332471218
Yes Ames Christopher 1265485155 CCAPP LCI10031217 Yes
City: Lancaster
Lancaster, CA 93534 Level of Care: 3.5
NPI # 1700902798 Website: www.tarzanatc.org/ Phone: (661) 726-2630
Provider Group Affiliation: N/A Fax: (661) 940-3412 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Friday: 8:00am to 5:00pm Clinic Hours: 24/7 Specialty: N/A
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Youth (Age 13-17) Rendering
Provider List: Tarzana Treatment Centers
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training McCandless Doreen 1699951517 BBS 91281 Yes Ayala Matthew
1194252940 CADDE 11005-R Yes Okada Stephanie 1396267209 CCAPP
R1247800417 Yes Quezada Patricia 1346523941 CCAPP C17081214 Yes
Encina Alberto 1285720326 MBC A33026 Yes Lewis Nina 1144613076
BVNPT VN239018 Yes
City: San Bernardino Provider: Gibson House for Men Service Type:
Residential Treatment Address: 1100 North D Street
San Bernardino, CA 92410 Level of Care: 3.1 & 3.5
NPI # 1033311881 Website: www.varpinc.org Phone: (909) 884-0840
Provider Group Affiliation: VARP, Inc. Fax: (909) 885-6852
Accepting New Clients: YES E-Mail: admin@varpinc.org ADA
Accommodation: YES Admin Hours: Monday – Friday: 8:00am to 5:00pm
Clinic Hours: 24/7 Specialty: Gender Responsive, LGBTQ, Older
Adults, E.O.P Mental Health Cultural Capabilities: Cultural
competency plan is in place and staff are provided Cultural
Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+) Men Only,
CalWORKs, CFS, AB109 Rendering Provider List: Gibson House for
Men
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Dishaw Sean 1467876110 CCAPP CiCA02431219 Yes Hixson
Teresa 1215475611 CCAPP Aii31810220 Yes Johnson Robert 1730537523
CCAPP C051610318 Yes Luis Amanda 1043762917 CCAPP Ci16630518 Yes
Marrufo Tina 1265952394 CCAPP Ci23480518 Yes San Roman Victor
1669766200 DCA 16302 Yes Tavolazzi Ted 1285058933 CCAPP
Aii058300518 Yes Wentworth Katherine 1164965760 CCAPP Aii050850218
Yes Valdez Michael 1205923224 DCA G79406 Yes Melendez Johnny
1871128843 CAADE 13911-R Yes Smith Michael 1982163473 CCAPP
R1313470618 Yes Mera Courtney 1639721467 DCA AMFT113158 Yes
Thompson Paula 1043634710 CAADE 1732241 Yes Lewis Richards Jade
1689143711 DCA 124356 Yes Hynes John 1487063673 DCA 100528 Yes Cole
Danielle 1134752256 CA Breeze 255245 Yes Bustamante Edward
1720751068 CCAPP R1441960821 Yes
Carruthers Robert 1851620348 CCAPP R1419300221 Yes Daniels Lillie
1972160935 CCAPP R1442780821 Yes Gomez Manual 1336783422 CCAPP
R1352600619 Yes Miller Kathleen 1215563739 CAADE 13818-RAC Yes
Navar Freddy 1093217358 CAADE 8278-RAC Yes
City: San Bernardino
Provider: Gibson House for Women Service Type: Residential
Treatment Address: 1135 North D Street
San Bernardino, CA 92410 Level of Care: 3.1 & 3.5
NPI # 1568821551 Website: www.varpinc.org Phone: (909) 888-6956
Provider Group Affiliation: VARP, Inc. Fax: (909) 885-6758
Accepting New Clients: YES E-Mail: admin@varpinc.org ADA
Accommodation: YES Admin Hours: Monday – Friday: 8:00am to 5:00pm
Clinic Hours: 24/7 Specialty: Gender Responsive, LGBTQ, Older
Adults, Parenting classes Cultural Capabilities: Cultural
competency plan is in place and staff are provided Cultural
Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+) Women Only,
CalWORKs, CFS, AB109 Rendering Provider List: Gibson House for
Women
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Castillo Susana 1912377763 CAADE 1681011 Yes Lemelin
Cynthia 1760806962 CCAPP Aii056180518 Yes Dishaw Sean 1467876110
CCAPP CiCA02431219 Yes San Roman Victor 1669766200 DCA 16302 Yes
Valdez Michael 1205923224 DCA G79406 Yes Aragon Jessica 1063070134
CCAPP Ci31221120 Yes Lilly Melissa 1881255735 CCAPP R1340120319 Yes
Mera Courtney 1639721467 DCA AMFT113158 Yes Quidor Angela
1790245918 CAADE 201401331 Yes Cruz Zoraya 1932757408 CCAPP
R1369581019 Yes Thompson Paula 1043634710 CAADE 1732241 Yes Cole
Danielle 1134752256 CA Breeze 255245 Yes Dewey Danielle 1386314227
CCAPP R1439690721 Yes Lewis Richards Jade 1689143711 DCA 124356 Yes
Hynes John 1487063673 DCA 100528 Yes
City: Tarzana
NPI # 1073951216 Website: www.tarzanatc.org/ Phone: (888) 777-8565
Provider Group Affiliation: N/A Fax: (818)345-3778 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Friday: 8:30am to 5:00pm Clinic Hours: 24/7 Specialty: N/A
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: Tarzana Treatment Centers
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Psychology PSB94024614 Yes
Service Type: Residential Treatment
Address: 1260 E. Arrow Highway, Bldg. B & C Upland, CA
91786
Level of Care: 3.1 & 3.5
NPI # 1669800678 Website: www.inlandvalleyrecovery.org Phone: (909)
932-1069 Provider Group Affiliation: N/A Fax: (909) 932-1087
Accepting New Clients: YES E-Mail: jortiz@ivdars.org ADA
Accommodation: YES Admin Hours: Monday - Friday: 8:00am to 6:30pm
Clinic Hours: 24/7 Specialty: Gender Responsive, LGBTQ, Veterans
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural
Competency training Linguistic Capabilities: Interpretation
services available for all languages, Spanish curriculum is offered
Populations Served: Adult (18+), CalWORKs, CFS, AB109 Rendering
Provider List: Inland Valley Recovery Services Upland Recovery
Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Abeyta Cynthia 1154516250 CADC-CAS C22701214 Yes Barron
Yvonne 1154551687 CADCII-CA Aii8531214 Yes Clignett Ingrid
1205284270 CADC-CA CiCA00840419 Yes Dauwalder Timothy 1942379987
DCA/D.O. 20A7875 Yes Ortiz Jessica 1780058214 CADC-CAS C8641214 Yes
Tobler Nadine 1538525365 CADC-CAS C28451214 Yes Whittey Sharlene
1740568575 CADCI Ci4110415 Yes
Valdez Oscar 1194126763 AMFT 265457 Yes Barnett Stacey 1033657721
CADCI-CA CiCA03460620 Yes Avelar Cindy 1871073510 ASW 178849 Yes
Virani Hussain 1700345642 ASW 180006 Yes Atkins Gary 1487838405
LCSW 169641 Yes Reid Roberta 1710017165 LMFT 43223 Yes Degrande
Janice 1245387687 CADCII A041060816 Yes Pimienta Debra 1124618368
CADCI Ci31780121 Yes Marty Sandra 1184139719 AMFT 101509 Yes City:
Victorville
Provider: St. John of God Health Care Services
Service Type:
Residential Treatment
Level of Care:
3.1 & 3.5
NPI # 1942679006 Website: www.stjoghcs.org Phone: (760) 241-4917
Provider Group Affiliation: N/A Fax: (760) 241-8911 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Friday: 7:00am to 3:00pm Clinic Hours: 24/7 Specialty: N/A
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural
Competency training Linguistic Capabilities: Interpretation
services available for all languages, Spanish Curriculum
Populations Served: Adult with Children, CalWORKs, CFS, AB109
Rendering Provider List: St. John of God Health Care Services
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Perez Antonio 1811189483 CCAPP B001140519 Yes Axelrod Dana
1609158419 CCAPP A01940315 Yes Vega Pauline 1760038574 CCAPP
R1347100519 Yes Fowler Derek 1194351783 CCAPP R1327501118 Yes Bolan
Dixie 1275996308 CCAPP Ci21031118 Yes Sapp Melody 1538523451 CCAPP
R1198670415 Yes Sanders Leah 1437785946 CCAPP R1354120719 Yes
Richardson Robert 1982642179 MBC A34156 Yes Miller Kathleen
1083043541 CCAPP R1344890419 Yes O’Rourke Kevin 1740816248 CCAPP
R1288560118 Yes
RESIDENTIAL TREATMENT ADULT with CHILDREN
PROGRAM
Substance Use Disorder services provided in a home-like setting
where the parent can bring
child(ren) through age 6, while attending treatment services; such
as group counseling, individual counseling, alcohol and drug
education. All Residential Treatment services receive
prior-authorization by the Department of Behavioral Health –
Substance Use Disorder and Recovery Services. City:
Bloomington
Provider: Cedar House Life Change Center Maple House
Service Type: Residential Treatment
Level of Care: 3.1, 3.2, 3.3, & 3.5
NPI # 1710364450 Website: cedarhouse.org Phone: (909) 421-7120
Provider Group Affiliation: Social Sciences, Inc. Fax: (909)
421-7128 Accepting New Clients: YES E-Mail: N/A ADA Accommodation:
YES Admin Hours: Monday – Friday: 7:30am to 3:30pm Clinic Hours:
24/7 Specialty: Gender Responsive Cultural Capabilities: Cultural
competency plan is in place and staff are provided Cultural
Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult Women with Children,
CalWORKs, CFS, AB109 Rendering Provider List: Cedar House Life
Change Center Maple House
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Valdez Michael 1205923224 MBC G79406 Yes Smith Kathleen
1467896035 BBS LMFT53298 Yes Carrillo Yvonne 1174830343 CCAPP
C11661214 Yes Rodriguez Rosanna 1235619784 CCAPP C051890418 Yes
O’Hearn Mayra 1558830687 CCAPP Ci31011020 Yes City: Upland
Provider: Inland Valley Recovery Services Upland Recovery
Center
Service Type: Residential Treatment
Address: 1260 Arrow Highway, Bldg. B & C Upland, CA 91786
Level of Care: 3.1 & 3.5
NPI # 1669800678 Website: www.inlandvalleyrecovery.org Phone: (909)
932-1069 Provider Group Affiliation: N/A Fax: (909) 932-1087
Accepting New Clients: YES E-Mail: Clemos@ivdars.org ADA
Accommodation: YES Admin Hours: Monday - Friday: 8:00am to 6:30pm
Clinic Hours: 24/7 Specialty: Gender Responsive, LGBTQ, Veterans,
Women with Children, Men with Children Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum Populations Served: Adult
with Children, CalWORKs, CFS, AB109 Rendering Provider List: Inland
Valley Recovery Services Upland Recovery Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Abeyta Cynthia 1154516250 CCAPP C22701214 Yes Barron
Yvonne 1154551687 CCAPP Aii8531214 Yes Clignett Ingrid 1205284270
CCAPP Ci23300518 Yes Dauwalder Timothy 1942379987 DCA/D.O. 20A7875
Yes Rossi Alease 1972988822 APCC 20135 Yes Guilleaume Elizabeth
1043750375 CCAPP Aii59030618 Yes Ortiz Jessica 1780058214 CCAPP
C8641214 Yes Shaw Carina 1013260173 CCAPP Aii058900618 Yes Tobler
Nadine 1538525365 CCAPP C28451214 Yes Whittey Sharlene 1740568575
CCAPP Ci4110415 Yes Guilleaume Elizabeth 1043750375 CADCII-CA
Aii059030618 Yes City: Victorville
Provider: St. John of God Health Care Services
Service Type:
Residential Treatment
Level of Care:
3.1 & 3.5
NPI # 1942679006 Website: www.stjoghcs.org Phone: (760) 241-4917
Provider Group Affiliation: N/A Fax: (760) 241-8911 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Friday: 7:00am to 3:00pm Clinic Hours: 24/7 Specialty: N/A
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum Populations Served: Adult
with Children, CalWORKs, CFS, AB109 Rendering Provider List: St.
John of God Health Care Services
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence Training
Perez Antonio 1811189483 CCAPP B001140519 Yes Axelrod Dana
1609158419 CCAPP A01940315 Yes Bolan Dixie 1275996308 CCAPP
A051360819 Yes Sapp Melody 1538523451 CCAPP R1198670415 Yes Bolan
Dixie 1275996308 CCAPP A051360819 Yes Vega Pauline 1760038574 CCAPP
R1347100519 Yes Fowler Derek 1194351783 CCAPP R1327501118 Yes
Sanders Leah 1437785946 CCAPP R1354120719 Yes Richardson Robert
1982642179 MBC A34156 Yes Miller Kathleen 1083043541 CCAPP
R1344890419 Yes O’Rourke Kevin 1740816248 CCAPP R1288560118
Yes
WITHDRAWAL MANAGEMENT (DETOXIFICATION) PROGRAM
Provider: Cedar House Life Change Center Service Type: Withdrawal
Management Address: 18612 Santa Ana Ave.
Bloomington, CA 92316 Level of Care: 3.2-WM
NPI # 1861648412 Website: cedarhouse.org Phone: (909) 421-7120
Provider Group Affiliation: Social Sciences, Inc. Fax: (909)
421-7128 Accepting New Clients: YES E-Mail: N/A ADA Accommodation:
YES Admin Hours: Monday – Friday: 7:30am to 3:30pm Clinic Hours:
24/7 Specialty: Gender Responsive, LGBTQ, Co-Occurring Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum Populations Served: Adult
(18+), CalWORKs, CFS, AB109 Rendering Provider List: Cedar House
Life Change Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Valdez Michael 1205923224 MBC G79406 Yes Harang Michael
1568652956 CCAPP AII053840418 Yes Woodford- Beale Sharron
1316451834 CCAPP C052070418 Yes Smith Kathleen 1467896035 BBS
LMFT53298 Yes Pink Lisa 1386988137 CCAPP Ci09801117 Yes Carrillo
Yvonne 1174830343 CCAPP C11661214 Yes
City: Lancaster
Lancaster, CA 93534 Level of Care: 3.2-WM
NPI # 1700902798 Website: www.tarzanatc.org/ Phone: (661) 726-2630
Provider Group Affiliation: N/A Fax: (661) 940-3412 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Friday: 8:30am to 5:00pm Clinic Hours: 24/7 Specialty: N/A
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Youth (Age 13-17) Rendering
Provider List: Tarzana Treatment Centers
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training McCandless Doreen 1699951517 BBS 91281 Yes Ayala Matthew
1194252940 CADDE 11005-R Yes Quezada Patricia 1346523941 CCAPP
C17081214 Yes Encina Alberto 1285720326 Medical Board A33026 Yes
Lewis Nina 1144613076 BVNPT VN239018 Yes Baron Kayla 1588295729 BBS
114620 Yes
City: Tarzana
Tarzana, CA 91356 Level of Care: 3.2-WM
NPI # 1073951216 Website: www.tarzanatc.org/ Phone: (888) 777-8565
Provider Group Affiliation: N/A Fax: N/A Accepting New Clients: YES
E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday - Friday:
8:00am to 5:00pm Clinic Hours: 24//7 Specialty: N/A Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: Tarzana Treatment Centers
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Gonzales-Long Desiree 1841202066 BBS 47138 Yes Star Keith
1174836951 BBS 28743 Yes Vai Lilian 1386111425 BBS 82038 Yes
Olivarez Antionette 1679016133 BRN 486075 Yes Choi Randy 1487182481
CCAPP Ci09070817 Yes City: Upland
Provider: Inland Valley Recovery Services Upland Recovery
Center
Service Type: Withdrawal Management
Address: 1260 Arrow Highway, Bldg. B & C Upland, CA 91786
Level of Care: 3.2-WM
NPI # 1669800678 Website: www.inlandvalleyrecovery.org Phone: (909)
932-1069 Provider Group Affiliation: N/A Fax: (909) 932-1087
Accepting New Clients: YES E-Mail: jortiz@ivdars.org ADA
Accommodation: YES Admin Hours: Monday – Friday: 8:00am to 6:30pm
Clinic Hours: 24/7 Specialty: Gender Responsive, LGBTQ,
Veterans,
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency training
Linguistic Capabilities: Interpretation services available for all
languages, Spanish Curriculum Populations Served: Adult with
Children, CalWORKs, CFS, AB109 Rendering Provider List: Inland
Valley Recovery Services Upland Recovery Center
Staff Name/NPI Number Certification/Licensure
Cultural Competence
Training Abeyta Cynthia 1154516250 CADC-CAS C22701214 Yes Barron
Yvonne 1154551687 CADCII-CA Aii8531214 Yes Clignett Ingrid
1205284270 CADC-CA CiCA00840419 Yes Dauwalder Timothy 1942379987
DCA/D.O. 20A7875 Yes Ortiz Jessica 1780058214 CADC-CAS C8641214 Yes
Tobler Nadine 1538525365 CADC-CAS C28451214 Yes Whittey Sharlene
1740568575 CADCI Ci4110415 Yes Valdez Oscar 1194126763 AMFT 265457
Yes Barnett Stacey 1033657721 CADCI-CA CiCA03460620 Yes Avelar
Cindy 1871073510 ASW 178849 Yes Virani Hussain 1700345642 ASW
180006 Yes Atkins Gary 1487838405 LCSW 169641 Yes Reid Roberta
1710017165 LMFT 43223 Yes Degrande Janice 1245387687 CADCII
A041060816 Yes Pimienta Debra 1124618368 CADCI Ci31780121 Yes
Chavez Sandra 1619534096 CATC II 197727 II Yes Hernandez Trask
1336799493 CADCII A054070319 Yes Woodward Kristy 1093485666 RADT
R1336350119 Yes City: Victorville
Provider: St. John of God Health Care Services
Service Type: Withdrawal Management
Level of Care: 3.2-WM
NPI # 1942679006 Website: www.stjoghcs.org Phone: (760) 241-4917
Provider Group Affiliation: N/A Fax: (760) 241-8911 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Friday: 7:00am to 3:00pm Clinic Hours: 24/7 Specialty: N/A
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum Populations Served: Adult
(18+), CalWORKs, CFS, AB109 Rendering Provider List: St. John of
God Health Care Services
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Click here to return to the table of contents 16
Perez Antonio 1811189483 CCAPP/CADCIII B001140519 Yes Axelrod Dana
1609158419 CCAPP A01940315 Yes Hammer Yvette 1013107176 CCAPP
C031620315 Yes Bolan Dixie 1275996308 CCAPP Ci21031118 Yes Sapp
Melody 1538523451 CCAPP R1198670415 Yes Vega Pauline 1760038574
CCAPP R1347100519 Yes Fowler Derek 1194351783 CCAPP R1327501118 Yes
Sanders Leah 1437785946 CCAPP R1354120719 Yes Richardson Robert
1982642179 MBC A34156 Yes Miller Kathleen 1083043541 CCAPP
R1344890419 Yes O’Rourke Kevin 1740816248 CCAPP R1288560118
Yes
ADULT OUTPATIENT TREATMENT PROGRAM
Treatment services, such as individual and group counseling
services provided in an outpatient setting up to 9 hours a week for
adults.
City: Barstow Provider: Barstow Behavioral Health Center Service
Type: Outpatient Treatment Address: 1841 E. Main Street
Barstow, CA 92311 Level of Care: 1
NPI # 1033328331 Website: wp.sbcounty.gov/dbh Phone: (760) 255-5700
Provider Group Affiliation: Department of Behavioral
Health Fax: (760) 256-5092 Accepting New Clients: YES E-Mail:
DBH-SUDRSADMIN@dbh.sbcounty.gov ADA Accommodation: YES Admin Hours:
Monday - Friday: 8:00am to 5:00pm Clinic Hours: Monday Friday:
8:00am to 5:00pm Specialty: Gender Responsive Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum Populations Served: Adult
(18+), CalWORKs, CFS, Probation Rendering Provider List: Barstow
Behavioral Health Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Olson Kimberly 1306906755 BBS LMFT41200 Yes Carroll Penny
1780993857 CCAPP A022550316 Yes Hart Eric 1770810897 CCAPP
A07220315 Yes Ortiz Jessica 1700186459 CCAPP ci22420418 Yes Avalos
Jonathan 1386050805 MBC A139612 Yes Sherwood Amber 1639683782 BBS
AMFT96614 Yes
City: Barstow
Provider: High Desert Child, Adolescent and Family Services Center,
Inc.
Service Type: Outpatient Treatment
Address: 225 Barstow Road Barstow, CA 92311
Level of Care: 1
NPI # 1568808509 Website: www.highdesertcenterinc.com Phone: (760)
255-1083 Provider Group Affiliation: N/A Fax: (760) 255-1083
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm Specialty: N/A Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum Populations Served: Adult
(18+), CalWORKs, CFS, AB109 Rendering Provider List: High Desert
Child, Adolescent and Family Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Montana Josephine 1417984782 MBC C54399 Yes Morales
Cynthia 1194062752 CCAPP AO43700217 Yes Davtyan William 1942898960
CCAPP R1411611220 Yes
City: Bloomington Provider: Cedar House Life Change Center Service
Type: Outpatient Treatment Address: 18612 Santa Ana Ave.
Bloomington, CA 92316 Level of Care: 1
NPI # 1861648412 Website: cedarhouse.org Phone: (909) 421-7120
Provider Group Affiliation: Social Sciences, Inc. Fax: (909)
421-7128 Accepting New Clients: YES E-Mail: N/A ADA Accommodation:
YES Admin Hours: Monday – Friday: 7:30am to 3:30pm Clinic Hours:
Monday, Tuesday & Thursday: 10:00am to 11:30am / 4:00pm to
5:30pm / 6:30pm to
8:00pm Friday: 8:00am to 4:30pm
Specialty: Gender Responsive, LGBTQ, Veterans Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum Offered Populations Served:
Adult (18+), CalWORKs, CFS, AB109 Rendering Provider List: Cedar
House Life Change Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Valdez Michael 1205923224 MBC G79406 Yes Rodriguez Michael
1174044416 CCAPP C053120518 Yes Carrillo Yvonne 1174830343 CCAPP
1174830343 Yes Zehna Lee 1245877307 CCAPP R1245877307 Yes Smith
Kathleen 1467896035 BBS LMFT53298 Yes
City: Colton
Service Type: Outpatient Treatment
Address: 1076 Santo Antonio Drive, Suite B Colton, CA 92324
Level of Care: 1
NPI # 1942338744 Website: www.mhsinc.org Phone: (909) 433-9824
Provider Group Affiliation: N/A Fax: (909) 433-9830 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Friday: 8:00am to 4:30pm Clinic Hours: Monday – Friday: 8:00am to
4:30pm Specialty: N/A Cultural Capabilities: Cultural competency
plan is in place and staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: MHS Central Valley Regional Recovery
Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Emond Jeanell 1285965343 CCAPP C15141214 Yes Essex Michael
1952335820 MBC G 85675 Yes Rodriguez Theresa 1467731661 BBS 110010
Yes Echeverria Joseph 1215929575 ACCBC R14099 Yes
City: Needles
Provider: MHS Needles Center for Change Service Type: Outpatient
Treatment Address: 300 H Street
Needles, CA 92363 Level of Care: 1
NPI # 1821126889 Website: www.mhsinc.org Phone: (760) 326-4590
Provider Group Affiliation: N/A Fax: (760) 326-3154 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Thursday: 8:00am to 6:00pm,
Friday: 7:00am to 3:30pm (Closed 12:00pm to1:00pm) Clinic Hours:
Monday - Thursday: 8:00am to 6:00pm
Friday: 7:00am to 3:30pm (Closed 12:00pm to 1:00pm) Specialty: N/A
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
Rendering Provider List: MHS Needles Center for Change
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Essex Michael 1952335820 MBC G 85675 Yes Smith Alia
1780906156 BBS 101247 Yes
Click here to return to the table of contents 19
Russell Carl 1427487990 CADTP R6150 Yes Phillips Jason 1992177299
CADTP SUDCC 6264 Yes Paget Misty 1336674209 CADTP SUDCC 5981 Yes
Olvera Susan 1538834171 CADTP SUDRC11882 Yes Chavez Michelle
1700302700 CADTP SUDCC 6032 Yes
City: Ontario
Ontario, CA 91764 Level of Care: 1
NPI # 1720296189 Website: wp.sbcounty.gov/dbh Phone: (909) 458-1376
Provider Group Affiliation: Department of Behavioral
Health Fax: (909) 944-1059 Accepting New Clients: YES E-Mail:
DBH-SUDRSADMIN@dbh.sbcounty.gov ADA Accommodation: YES Admin Hours:
Monday – Friday: 8:00am to 5:00pm Clinic Hours: Monday – Friday:
8:00am to 5:00pm Specialty: Gender Responsive, Veterans, LGBTQ
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum, Spanish
Services provided by Spanish Speaking Staff Populations Served: All
Populations Including: Adult (18+), CalWORKs, CFS, AB109 Rendering
Provider List: Mariposa Community Counseling
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Strain Shannon 1407987514 CAODC-A 7649 Yes Daniel Zatarain
1609157940 CCAPP Aii054660418 Yes Jesus Avitia 1780159954 CCAPP
A049690518 Yes
City: Ontario
Provider: Clare-Matrix Service Type: Outpatient Treatment Address:
812 N. Euclid Avenue
Ontario, CA 91762 Level of Care: 1
NPI # 1992129282 Website: www.clarematrix.org Phone: (909) 395-0888
Provider Group Affiliation: N/A Fax: (909) 395-0899 Accepting New
Clients: YES E-Mail: bcastillo@clarematrix.com ADA Accommodation:
YES Admin Hours: Monday, Wednesday through Friday: 9:00am – 5:00pm,
Tuesday: 9:00am – 5:30pm Clinic Hours: Monday, Wednesday and
Thursday: 9:00am – 9:00pm, Tuesday: 9:00am – 7:30pm,
Friday: 9:00am – 5:00pm Specialty: N/A Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: Clare-Matrix
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Cuypers Sean 1841607017 BBS 110865 Yes Tafoya Amanda
1558911826 BBS 6985 Yes Douglas Patrice 1275911257 BBS 105042 Yes
Lopez Denise 1659770261 BBS 108637 Yes Shin Lo Peter 1285047282 BBS
76919 Yes Sosa-Torres Jaqueline 1063904159 CCAPP R1319870818 Yes
Vargas Marias 1881177632 BBS 51747 Yes Choi Mathew 1134667229 APCC
5319 Yes Nasser Moses 1902023682 DCA/D.O. 20A9301 Yes
City: Rialto
Service Type: Outpatient Treatment
Level of Care: 1
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Speaking Staff,
Spanish Curriculum Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: Rialto Behavioral and Addiction
Treatment Services
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
City: San Bernardino Provider: Inland Behavioral & Health
Services (IBHS), Inc. Service Type: Outpatient Treatment
Address: 1963 North E Street San Bernardino, CA 92405
Level of Care: 1
Fax: (909) 881-0111 Accepting New Clients: YES E-Mail: N/A ADA
Accommodation: YES Admin Hours: Monday – Friday: 8:00am to 5:00pm
Clinic Hours: Monday – Friday: 8:00am to 5:00pm Specialty: N/A
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: Inland Behavioral & Health
Services (IBHS), Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Underwood Donald 1598861817 Osteopathic Medical Board 4681 No
Ligons Sanaa 1922103654 Osteopathic Medical Board 8792 No
Daniels Mark 1376809020 BBS 9713 No Jackson Kevin 1164845400 CCAPP
Aii050430218 Yes Rios Frank 1689007767 CCAPP A048101117 Yes Newland
Grace 1043400997 CCAPP C050540218 Yes Thedford Lakeisha 1891220745
CCAPP R1207920715 Yes Dixon Varyl 1427560010 CCAPP C050280118 Yes
Dixon-Hudak Debra 1942591110 CCAPP 125308 Yes Chadwick Gina
1568623205 CCAPP C15881214 Yes Marshall Hoyt 1225501729 CDAPT 7907
Yes Snagg Danielle 1588187850 CCAPP R1309690618 Yes Pitts Lori
1356533707 CCAPP R1287520118 Yes Mayo Myiesha 1205374733 CCAPP
R1224000316 Yes
City: San Bernardino Provider: MHS Probationers Recovering
through Intervention and Drug Education (PRIDE) Program *Must be
court referred
Service Type: Outpatient Treatment
Level of Care: 1
NPI # 1033247812 Website: www.mhsinc.org Phone: (909) 386-0523
Provider Group Affiliation: N/A Fax: (909) 386-0529 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Thursday: 7:00am to 4:00pm, Friday: 6:00am to 3:30pm Clinic
Hours: Monday - Thursday: 8:00am to 6:30pm, Friday: 6:00am to
2:30pm Specialty: N/A Cultural Capabilities: Cultural competency
plan is in place and staff are provided Cultural Competency
training. Linguistic Capabilities: Interpretation services
available for all languages
Populations Served: Court Referred Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: MHS Probationers Recovering through
Intervention and Drug Education (PRIDE) Program
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Majourau Wayne 1538450341 CCAPP C055210518 Yes Gonzalez
Nancy 1851720791 ACCBC 204289-I Yes Meraz Desmond 1518210632 CCAPP
A044260517 Yes Cardenas Janelly 1679981674 CCAPP A057920820 Yes
Stone Celeste 1538688296 CCAPP R1261380817 Yes Montgomery Victoria
1770795304 ACCBC 061298-II Yes
Essex Michael 1952335820 MBC G 85675 Yes Rodriguez Theresa
1467731661 BBS 110010 Yes
City: Upland
Service Type: Outpatient Treatment
Address: 934 N. Mountain Ave. Suite A, B, C & D Upland, CA
91786
Level of Care: 1
NPI # 1316086739 Website: www.inlandvalleyrecovery.org Phone: (909)
949-4667 Provider Group Affiliation: N/A Fax: (909) 931-3774
Accepting New Clients: YES E-Mail: cshaw@ivdars.org ADA
Accommodation: YES Admin Hours: Monday – Friday: 9:00am to 7:00pm
Clinic Hours: Monday - Friday: 9:00am to 7:00pm Specialty: Gender
Responsive, LGBTQ, Veterans Cultural Capabilities: Cultural
competency plan is in place and staff are provided Cultural
Competency
training. Linguistic Capabilities: Interpretation services
available for all languages, Spanish curriculum is offered
Populations Served: Adult (18+), CalWORKs, CFS, AB109 Rendering
Provider List: Inland Valley Recovery Services Upland Recovery
Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Bonner Tracey 1588977789 CCAPP A021970216 Yes Hacker
Melissa 1437625969 CCAPP Ci06850217 Yes Murphy Jacqueline
1376753525 CCAPP LCi12550618 Yes Brown Perlena 1811312168 CADCII-CA
Aii059320618 Yes Sepeda Stephanie 1790215267 CATC 1910119 Yes
Arellano Idania 1114576824 AMFT 225069 Yes Seither Jill 1184888646
CADC II-CA Aii4361214 Yes Atkins Gary 1487838405 LCSW 169641 Yes
Reid Roberta 1710017165 LMFT 43223 Yes
City: Victorville Provider: High Desert Child, Adolescent
& Family Center Services Center, Inc.
Service Type: Outpatient Treatment
Level of Care: 1
NPI # 1528276797 Website: www.highdesertcenterinc.com Phone: (760)
243-7151 Provider Group Affiliation: N/A Fax: (760) 952-1432
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm Specialty: N/A Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish curriculum Populations Served: Adult
(18+), CalWORKs, CFS, AB109 Rendering Provider List: High Desert
Child, Adolescent & Family Center Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Baird Shannon 1063621670 CCAPP Aii11511215 Yes Morales
Cynthia 1194062752 CCAPP A043700217 Yes Allen Danielle 1427505239
CCAPP R1237460816 Yes Gwyn Brandon 1336625094 CCAPP Ci33350621 Yes
Ortez Ramona 1245797521 CATC 2113825 11 Yes Gonzalez Sabrina
1922667120 CCAPP R1350710619 Yes Montana Josephine 1417984782 MBC
C54399 Yes
City: Victorville
Provider: St. John of God Hospitality Center Service Type:
Outpatient Treatment Address: 15534 6th Street
Victorville, CA 92395 Level of Care: 1
NPI # 1881733095 Website: www.stjoghcs.org Phone: (760) 952-9192
Provider Group Affiliation: N/A Fax: (760) 843-7243 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Friday: 7:00am to 3:00pm Clinic Hours: Monday - Friday: 9:00am to
9:00pm, Saturday - Sunday 10:00am to 7:00pm Specialty: Co-Occurring
enhanced treatment with certified Co-Occurring SUD Counselors
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Services provided by
Spanish Speaking Staff, Spanish Curriculum Available Populations
Served: Adult (18+), CalWORKs, CFS, AB109, Medi-Cal, GEO, DOT
Rendering Provider List: St. John of God Hospitality Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
City: Yucca Valley Provider: MHS Counseling and Recovery
Center for Change Service Type: Outpatient Treatment
Address: 58945 Business Center Drive, Suite J, Yucca Valley, CA
92284
Level of Care: 1
NPI # 1235577396 Website: www.mhsinc.org Phone: (760) 369-1074
Provider Group Affiliation: N/A Fax: (760) 418-8271 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Friday: 9:00am to 5:00pm Clinic Hours: Monday – Friday: 9:00am to
5:00pm Specialty: Services provided are all inclusive including
gender responsive, LGBTQ, Veterans. Separate
groups are not provided for specialty populations. Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training. Linguistic Capabilities: Interpretation services
available for all languages, Spanish Services provided by
Spanish Speaking Staff, Spanish Curriculum Populations Served:
Young Adults (18-25), Adults (26 and older), CFS, Court, Probation,
and Parole
Referred, CalWORKs, Walk Ins-Self Referred, AB109 Rendering
Provider List: MHS Counseling and Recovery Center for Change
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Jones Tiffany 1952885048 CADTP 12282 Yes
Essex Michael 1952335820 MBC G 85675 Yes Algarin Jorge 1700440815
CADTP R12259 Yes Devlin Michael 1326607292 CADTP 11359 Yes Eric
Butterfield 1144439407 CCAPP Aii3381214 Yes Rodriguez Theresa
1467731661 BBS 110010 Yes
YOUTH OUTPATIENT TREATMENT PROGRAM
Treatment services, such as individual and group counseling
services provided in an outpatient setting less than 6 hours a week
for youth.
City: Barstow Provider: Barstow Behavioral Health Center Service
Type: Outpatient Treatment Address: 1841 E. Main Street
Barstow, CA 92311 Level of Care: 1
NPI # 1033328331 Website: wp.sbcounty.gov/dbh Phone: (760) 255-5700
Provider Group Affiliation: Department of Behavioral
Health Fax: (760) 256-5092 Accepting New Clients: YES E-Mail:
DBH-SUDRSADMIN@dbh.sbcounty.gov ADA Accommodation: YES Admin Hours:
Monday - Friday: 8:00am to 5:00pm Clinic Hours: Monday – Friday:
8:00am to 5:00pm Specialty: N/A Cultural Capabilities: Cultural
competency plan is in place and staff are provided Cultural
Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum Available Populations Served:
Youth (12-17) Rendering Provider List: Barstow Behavioral Health
Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training
Olson Kimberly 1306906755 BBS LMFT41200 Yes Carroll Penny
1780993857 CCAPP A022550316 Yes Hart Eric 1770810897 CCAPP
A07220315 Yes Ortiz Jessica 1700186459 CCAPP ci22420418 Yes Avalos
Jonathan 1386050805 MBC A139612 Yes Sherwood Amber 1639683782 BBS
AMFT96614 Yes
City: Barstow Provider: High Desert Child, Adolescent and
Family Services Center, Inc. Service Type: Outpatient
Treatment
Address: 225 Barstow Road Barstow, CA 92311
Level of Care: 1
NPI # 1568808509 Website: www.highdesertcenterinc.com Phone: (760)
255-1083 Provider Group Affiliation: N/A Fax: (760) 255-1083
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm Specialty: N/A Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training, Parenting classes Linguistic Capabilities: Interpretation
services available for all languages, Spanish Curriculum
Populations Served: Youth (12-17) Rendering Provider List: High
Desert Child, Adolescent and Family Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
City: Needles Provider: MHS Needles Center for Change Service Type:
Outpatient Treatment Address: 300 H Street
Needles, CA 92363 Level of Care: 1
NPI # 1821126889 Website: www.mhsinc.org Phone: (760) 326-4590
Provider Group Affiliation: N/A Fax: (760) 326-3154 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Thursday: 8:00am to 6:00pm,
Friday: 7:00am to 3:30pm (Closed 12:00pm to1:00pm) Clinic Hours:
Monday - Thursday: 8:00am to 6:00pm
Friday: 7:00am to 3:30pm (Closed 12:00pm to 1:00pm) Specialty: N/A
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
Rendering Provider List: MHS Needles Center for Change
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Essex Michael 1952335820 MBC G 85675 Yes Smith Alia
1780906156 BBS 101247 Yes Russell Carl 1427487990 CADTP R6150 Yes
Paget Misty 1336674209 CADTP SUDCC 5981 Yes
City: Ontario Provider: Mariposa Community Counseling Service Type:
Outpatient Treatment Address: 2940 Inland Empire Blvd
Ontario, CA 91764 Level of Care: 1
NPI # 1720296189 Website: wp.sbcounty.gov/dbh Phone: (909) 458-1376
Provider Group Affiliation: Department of Behavioral
Health Fax: (909) 944-1059 Accepting New Clients: YES E-Mail:
DBH-SUDRSADMIN@dbh.sbcounty.gov ADA Accommodation: YES Admin Hours:
Monday - Friday: 8:00am to 5:00pm Clinic Hours: Monday - Friday:
8:00am to 5:00pm Specialty: N/A Cultural Capabilities: Cultural
competency plan is in place and staff are provided Cultural
Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish services provided by
Spanish Speaking Staff, Spanish Curriculum Available
Populations Served: Youth (12-17) Rendering Provider List: Mariposa
Community Counseling
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Strain Shannon 1407987514 CAODC-A 7649 Yes Daniel Zatarain
1609157940 CCAPP Aii054660418 Yes Jesus Avitia 1780159954 CCAPP
A049690518 Yes
City: Ontario
Provider: Clare-Matrix Service Type: Outpatient Treatment Address:
812 N. Euclid Avenue
Ontario, CA 91762 Level of Care: 1
NPI # 1992129282 Website: www.clarematrix.org Phone: (909) 395-0888
Provider Group Affiliation: N/A Fax: (909) 395-0899 Accepting New
Clients: YES E-Mail: bcastillo@clarematrix.com ADA Accommodation:
YES Admin Hours: Monday, Wednesday through Friday: 9:00am – 5:00pm,
Tuesday: 9:00am – 5:30pm Clinic Hours: Monday, Wednesday and
Thursday: 9:00am – 9:00pm, Tuesday: 9:00am – 7:30pm,
Friday: 9:00am – 5:00pm Specialty: Adolescents Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Youth (12-17) Rendering
Provider List: Clare-Matrix
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Cuypers Sean 1841607017 BBS 110865 Yes Tafoya Amanda
1558911826 BBS 6985 Yes Douglas Patrice 1275911257 BBS 105042 Yes
Lopez Denise 1659770261 BBS 108637 Yes Shin Lo Peter 1285047282 BBS
76919 Yes Sosa-Torres Jaqueline 1063904159 CCAPP R1319870818 Yes
Vargas Marias 1881177632 BBS 51747 Yes Choi Mathew 1134667229 APCC
5319 Yes Nasser Moses 1902023682 DCA/D.O. 20A9301 Yes
City: San Bernardino
Service Type: Outpatient Treatment
Level of Care: 1
E-Mail: rcapacete@ivdars.org ADA Accommodation: YES Admin Hours:
Monday - Friday: 9:00am to 9:00pm, Saturday 8:30am to 5:00pm Clinic
Hours: Monday - Friday: 9:00am to 9:00pm, Saturday 8:30am to 5:00pm
Specialty: Youth, Gender Responsive, LGBQT, Veterans Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum Populations Served: Youth
(12-17) Rendering Provider List: Inland Valley Recovery Services
San Bernardino Recovery Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Munn-Stubblefield Dunuene 1548828569 SUDCC 8076 Yes Vicuna
Dolores 1629590674 APCC 15693 Yes Capacete Rafael 1851706204
CADCII-CA Aii051880218 Yes Garcia Emmanuel 1124790118 APCC 10432
Yes Booker Bobby 1902276058 CATC I 206111 I Yes Atkins Gary
1487838405 LCSW 169641 Yes Reid Roberta 1710017165 LMFT 43223
Yes
City: Victorville Provider: High Desert Child, Adolescent
&
Family Services Center, Inc. Service Type: Outpatient
Treatment
Address: 16248 Victor Street Victorville, CA 92395
Level of Care: 1
NPI # 1528276797 Website: www.highdesertcenterinc.com Phone: (760)
243-7151 Provider Group Affiliation: N/A Fax: (760) 243-7151
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm Specialty: N/A Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Curriculum Populations Served: Youth
(12-17) Rendering Provider List: High Desert Child, Adolescent
& Family Center Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Baird Shannon 1063621670 CCAPP Aii11511215 Yes Morales
Cynthia 1194062752 CCAPP A043700217 Yes Allen Danielle 1427505239
CCAPP R1237460816 Yes Gwyn Brandon 1336625094 CCAPP Ci33350621 Yes
Union Julia 1639732779 CCAPP R1329081118 Yes Gonzalez Sabrina
1922667120 CCAPP R1350710619 Yes Montana Josephine 1417984782 MBC
C54399 Yes
City: Yucca Valley
Service Type: Outpatient Treatment
Address: 58945 Business Center Drive, Suite J, Yucca Valley, CA
92284
Level of Care: 1
NPI # 1235577396 Website: www.mhsinc.org Phone: (760) 369-1074
Provider Group Affiliation: N/A Fax: (760) 418-8271 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Friday: 9:00am to 5:00pm Clinic Hours: Monday – Friday: 9:00am to
5:00pm Specialty: Services provided are all inclusive including
gender responsive, LGBTQ, Veterans. Separate
groups are not provided for specialty populations. Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Services provided by
Spanish Speaking Staff, Spanish Curriculum Populations Served:
Youth (12-17) Rendering Provider List: MHS Counseling and Recovery
Center for Change
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Jones Tiffany 1952885048 CADTP 12282 Yes Essex Michael
1952335820 MBC G 85675 Yes Rodriguez Theresa 1467731661 BBS 110010
Yes
ADULT DRUG COURT PROGRAM
Drug Court program services provide a structured monitored
Substance Use Disorder treatment program for adults who are
referred by the Superior Court City: Colton
Provider: MHS Fontana Center for Change Service Type: Drug Court
(Outpatient Treatment) Address: 1076 Santo Antonio Dr., Suite
B
Colton, CA 92324 Level of Care: 1
NPI # 1457489478 Website: www.mhsinc.org Phone: (909) 433-9824
Provider Group Affiliation: N/A Fax: (909) 433-9830 Accepting New
Clients: YES E-Mail: jemond@mhsinc.org ADA Accommodation: YES Admin
Hours: Monday – Friday: 8:00am to 4:30pm Clinic Hours: Monday and
Friday: 8:00am to 7:00pm, Saturday 8:30am to 4:30pm Specialty: Drug
Court Program Cultural Capabilities: Cultural competency plan is in
place and staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adults referred by the
Superior Court
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Emond Jeanell 1902295322 CCAPP R1307450518 Yes Rodriguez
Theresa 1467731661 BBS 110010 Yes Essex Michael 1952335820 MBC G
85675 Yes Fuller Michael 1083084115 ACCBC 2050471 Yes Shocklee
Timothy 1891330536 ACCBC 2113397 Yes City: Ontario
Provider: Clare -Matrix Service Type: Drug Court (Outpatient
Treatment) Address: 812 N. Euclid Avenue
Ontario, CA 91762 Level of Care: 1
NPI # 1992129282 Website: www.clarematrix.org Phone: (909) 395-0888
Provider Group Affiliation: N/A Fax: (909) 395-0899 Accepting New
Clients: YES E-Mail: bcastillo@clarematrix.com ADA Accommodation:
YES Admin Hours: Monday, Wednesday through Friday: 9:00am – 5:00pm,
Tuesday: 9:00am – 5:30pm Clinic Hours: Monday, Wednesday and
Thursday: 9:00am – 9:00pm, Tuesday: 9:00am – 7:30pm,
Friday: 9:00am – 5:00pm Specialty: Drug Court Program, Medication
Assisted Treatment Cultural Capabilities: Cultural competency plan
is in place and staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adults referred by the
Superior Court Rendering Provider List: Clare-Matrix
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Nasser Moses 1902023682 DCA/D.O. 20A9301 Yes Cuypers Sean
1841607017 BBS 110865 Yes Denton Kerri-Anne 1710460555 BBS 105284
Yes Garibay (Pimentel) Sandra 1245557503 CCAPP C10951214 Yes
Douglas Patrice 1275911257 BBS 105042 Yes Lopez Denise 1659770261
BBS 108637 Yes Shin Lo Peter 1285047282 BBS 76919 Yes Strand
Theresa 1013434885 BBS 101623 Yes Sosa-Torres Jaqueline 1063904159
CCAPP R1319870818 Yes Vargas Marias 1881177632 BBS 51747 Yes City:
San Bernardino
Provider: MHS San Bernardino Center for Change
Service Type: Drug Court (Outpatient Treatment)
Address: 1874 Business Center Drive San Bernardino, CA 92408
Level of Care: 1
NPI # 1962538652 Website: www.mhsinc.org Phone: (909) 386-0437
Provider Group Affiliation: N/A Fax: (909) 386-0529 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
- Thursday: 7:00am to 4:00pm, Friday: 6:00am to 2:30pm Clinic
Hours: Monday - Thursday: 8:00am to 6:30pm, Friday: 6:00am to
2:30pm Specialty: Drug Court Program Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adults referred by the
Superior Court Rendering Provider List: MHS San Bernardino Center
for Change
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Majourau Wayne 1538450341 CCAPP C055210518 Yes Gonzalez
Nancy 1851720791 ACCBC 204289-I Yes Meraz Desmond 1518210632 CCAPP
A044260517 Yes Cardenas Janelly 1679981674 CCAPP A057920820 Yes
Stone Celeste 1538688296 CCAPP R1261380817 Yes Montgomery Victoria
1770795304 ACCBC 061298-II Yes Essex Michael 1952335820 MBC G 85675
Yes Rodriguez Theresa 1467731661 BBS 110010 Yes
City: Victorville Provider: High Desert Child, Adolescent
& Family Center Services Center, Inc.
Service Type: Drug Court (Outpatient Treatment)
Address: 16248 Victor Street Victorville, CA 92395
Level of Care: 1
NPI # 1528276797 Website: www.highdesertcenterinc.com Phone: (760)
243-7151 Provider Group Affiliation: N/A Fax: (760) 952-1432
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm Specialty: N/A Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish curriculum Populations Served: Adult
(18+), CalWORKs, CFS, AB109 Rendering Provider List: High Desert
Child, Adolescent & Family Center Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
City: Yucca Valley
Provider: MHS Joshua Tree Drug Court Service Type: Drug Court
(Outpatient Treatment) Address: 58945 Business Center Drive,
Suite P, Yucca Valley, CA 92284
Level of Care: 1
NPI # 1235577396 Website: www.mhsinc.org Phone: (760) 369-1074
Provider Group Affiliation: N/A Fax: (760) 369-1293 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Friday: 9:00am to 5:00pm Clinic Hours: Monday – Friday: 9:00am to
5:00pm Specialty: Drug Court Program Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adults referred by the
Superior Court Rendering Provider List: MHS Joshua Tree Drug Court
Center for Change
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Butterfield Eric 1144439407 CCAPP Aii3381214 Yes
Promenchenkel Kathy 1700062528 CADTP 5927 Yes Leonard Kasey
1891385373 CCAPP R1421300321 Yes Algarin Jorge 1700440815 CADTP
R12259 Yes Essex Michael 1952335820 MBC G 85675 Yes Rodriguez
Theresa 1467731661 BBS 110010 Yes
JUVENILE DRUG COURT PROGRAM
Drug Court program services provide a structured monitored
Substance Use Disorder treatment program for juveniles who are
referred by the Superior Courts City: Ontario
Provider: Clare-Matrix Service Type: Drug Court (Outpatient
Treatment) Address: 812 N. Euclid Avenue
Ontario, CA 91762 Level of Care: 1
NPI # 1992129282 Website: www.clarematrix.org Phone: (909) 395-0888
Provider Group Affiliation: N/A Fax: (909) 395-0899 Accepting New
Clients: YES
E-Mail: bcastillo@clarematrix.com ADA Accommodation: YES Admin
Hours: Monday, Wednesday through Friday: 9:00am – 5:00pm, Tuesday:
9:00am – 5:30pm Clinic Hours: Monday, Wednesday and Thursday:
9:00am – 9:00pm, Tuesday: 9:00am – 7:30pm,
Friday: 9:00am – 5:00pm Specialty: Drug Court Program, Adolescents,
Medication Assisted Treatment Cultural Capabilities: Cultural
competency plan is in place and staff are provided Cultural
Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Juveniles referred by the
Superior Court Rendering Provider List: Clare-Matrix
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Nasser Moses 1902023682 DCA/D.O. 20A9301 Yes Cuypers Sean
1841607017 BBS 110865 Yes Denton Kerri-Anne 1710460555 BBS 105284
Yes Garibay (Pimentel) Sandra 1245557503 CCAPP C10951214 Yes
Douglas Patrice 1275911257 BBS 105042 Yes Lopez Denise 1659770261
BBS 108637 Yes Shin Lo Peter 1285047282 BBS 76919 Yes Strand
Theresa 1013434885 BBS 101623 Yes Sosa-Torres Jaqueline 1063904159
CCAPP R1319870818 Yes Vargas Marias 1881177632 BBS 51747 Yes City:
San Bernardino
Provider: Inland Valley Recovery Services San Bernardino Recovery
Center
Service Type: Drug Court (Outpatient Treatment)
Address: 939 North D Street San Bernardino, CA 92410
Level of Care: 1
NPI # 1073744660 Website: www.inlandvalleyrecovery.org Phone: (909)
889-6519 Provider Group Affiliation: N/A Fax: (909) 889-6560
Accepting New Clients: YES E-Mail: rcapacete@ivdars.org ADA
Accommodation: YES Admin Hours: Monday – Friday: 9:00am to 6:30pm
Clinic Hours: Tuesday, Wednesday and Friday: 4:00pm – 5:30pm
Specialty: Drug Court Program, Adolescents, Gender Responsive,
LGBTQ Cultural Capabilities: Cultural competency plan is in place
and staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish curriculum is offered Populations
Served: Juveniles referred by the Superior Court Rendering Provider
List: Inland Valley Recovery Services San Bernardino Recovery
Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Munn-Stubblefield Dunuene 1548828569 SUDCC 8076 Yes Vicuna
Dolores 1629590674 APCC 15693 Yes Capacete Rafael 1851706204
CADCII-CA Aii051880218 Yes Atkins Gary 1487838405 LCSW 169641
Yes
Reid Roberta 1710017165 LMFT 43223 Yes City: Victorville
Provider: High Desert Child, Adolescent & Family Services
Center, Inc.
Service Type: Drug Court (Outpatient Treatment)
Address: 16248 Victor Street Victorville, CA 92395
Level of Care: 1
NPI # 1528276797 Website: www.highdesertcenterinc.com Phone: (760)
243-7151 Provider Group Affiliation: N/A Fax: (760) 952-1432
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm Specialty: Drug Court Program,
Adolescents Cultural Capabilities: Cultural competency plan is in
place and staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish curriculum Populations Served: Juveniles
referred by the Superior Court Rendering Provider List: High Desert
Child, Adolescent & Family Center Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Baird Shannon 1063621670 CCAPP Aii11511215 Yes Morales
Cynthia 1194062752 CCAPP A043700217 Yes Allen Danielle 1427505239
CCAPP R1237460816 Yes Union Julia 1639732779 CCAPP R1329081118 Yes
Gonzalez Sabrina 1922667120 CCAPP R1350710619 Yes Ortez Ramona
1245797521 CATC 2113825 11 Yes Montana Josephine 1417984782 MBC
C54399 Yes
ADULT INTENSIVE OUTPATIENT TREATMENT PROGRAM
Treatment services, such as individual and group counseling
provided in an outpatient setting for a minimum of 9 hours of
treatment per week with a maximum of 19 hours per week.
City: Barstow Provider: Barstow Behavioral Health Center Service
Type: Intensive Outpatient Treatment Address: 1841 E. Main
Street
Barstow, CA 92311 Level of Care: 2.1
NPI # 1033328331 Website: wp.sbcounty.gov/dbh Phone: (760) 255-5700
Provider Group Affiliation: Department of Behavioral
Health Fax: (760) 256-5092 Accepting New Clients: YES E-Mail:
DBH-SUDRSADMIN@dbh.sbcounty.gov ADA Accommodation: YES Admin Hours:
Monday – Friday: 8:00am to 5:00pm Clinic Hours: Monday – Friday:
8:00am to 5:00pm Specialty: Gender Responsive
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency training
Linguistic Capabilities: Interpretation services available for all
languages Populations Served: Adult (18+), CalWORKs, CFS, AB109
Rendering Provider List: Barstow Behavioral Health Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Olson Kimberly 1306906755 BBS LMFT41200 Yes Carroll Penny
1780993857 CCAPP A022550316 Yes Hart Eric 1770810897 CCAPP
A07220315 Yes Ortiz Jessica 1700186459 CCAPP ci22420418 Yes Avalos
Jonathan 1386050805 MBC A139612 Yes Sherwood Amber 1639683782 BBS
AMFT96614 Yes
City: Barstow
Provider: High Desert Child, Adolescent and Family Services Center,
Inc.
Service Type: Intensive Outpatient Treatment
Address: 225 Barstow Road Barstow, CA 92311
Level of Care: 2.1
NPI # 1568808509 Website: www.highdesertcenterinc.com Phone: (760)
255-1083 Provider Group Affiliation: N/A Fax: (760) 255-1083
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm Specialty: Parenting Classes Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish curriculum Populations Served: Adult
(18+), CalWORKs, CFS, AB109 Rendering Provider List: High Desert
Child, Adolescent and Family Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Montana Josephine 1417984782 MBC C54399 Yes Morales
Cynthia 1194062752 CCAPP AO43700217 Yes Davtyan William 1942898960
CCAPP R1411611220 Yes
City: Colton Provider: MHS Central Valley Regional
Recovery Center Service Type: Intensive Outpatient Treatment
Address: 1076 Santo Antonio Drive, Suite B Colton, CA 92324
Level of Care: 2.1
E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday – Friday:
8:00am to 4:30pm Clinic Hours: Monday – Friday: 8:00am to 4:30pm
Specialty: Gender Responsive Cultural Capabilities: Cultural
competency plan is in place and staff are provided Cultural
Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: MHS Central Valley Regional Recovery
Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Rodriguez Theresa 1467731661 BBS 110010 Yes Essex Michael
1952335820 MBC G 85675 Yes Davis Michael 1760938534 CCAPP
R1307170518 Yes
City: Needles
Provider: MHS Needles Center for Change Service Type: Intensive
Outpatient Treatment Address: 300 H Street
Needles, CA 92363 Level of Care: 2.1
NPI # 1821126889 Website: www.mhsinc.org Phone: (760) 326-4590
Provider Group Affiliation: N/A Fax: (760) 326-3154 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Thursday: 8:00am to 6:00pm
Friday: 7:00am to 3:30pm (Closed 12:00pm to 1:00pm) Clinic Hours:
Monday – Thursday: 8:00am to 6:00pm
Friday: 7:00am to 3:30pm (Closed 12:00pm to 1:00pm) Specialty:
Gender Responsive Cultural Capabilities: Cultural competency plan
is in place and staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: MHS Needles Center for Change
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Essex Michael 1952335820 MBC G 85675 Yes Smith Alia
1780906156 BBS 101247 Yes Russell Carl 1427487990 CADTP R6150 Yes
Paget Misty 1336674209 CADTP SUDCC 5981 Yes Olvera Susan 1538834171
CADTP SUDRC11882 Yes Chavez Michelle 1700302700 CADTP SUDCC 6032
Yes
City: Ontario
Ontario, CA 91762 Level of Care: 2.1
NPI # 1992129282 Website: www.clarematrix.org
Phone: (909) 395-0888 Provider Group Affiliation: N/A Fax: (909)
395-0899 Accepting New Clients: YES E-Mail:
bcastillo@clarematrix.com ADA Accommodation: YES Admin Hours:
Monday, Wednesday through Friday: 9:00am – 5:00pm, Tuesday: 9:00am
– 5:30pm Clinic Hours: Monday, Wednesday and Thursday: 9:00am –
9:00pm, Tuesday: 9:00am – 7:30pm,
Friday: 9:00am – 5:00pm Specialty: Medication Assisted Treatment
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: Clare-Matrix
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Nasser Moses 1902023682 DCA/D.O. 20A9301 Yes Cuypers Sean
1841607017 BBS 110865 Yes Denton Kerri-Anne 1710460555 BBS 105284
Yes Garibay (Pimentel) Sandra 1245557503 CCAPP C10951214 Yes
Douglas Patrice 1275911257 BBS 105042 Yes Lopez Denise 1659770261
BBS 108637 Yes Shin Lo Peter 1285047282 BBS 76919 Yes Strand
Theresa 1013434885 BBS 101623 Yes Sosa-Torres Jaqueline 1063904159
CCAPP R1319870818 Yes Vargas Marias 1881177632 BBS 51747 Yes
City: San Bernardino
Service Type: Intensive Outpatient Treatment
Address: 1963 North E Street San Bernardino, CA 92405
Level of Care: 2.1
NPI # 1275734469 Website: ibhealth.org Phone: (909) 881-6146
Provider Group Affiliation: N/A Fax: (909) 881-0111 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Friday: 8:00am to 5:00pm Clinic Hours: Monday – Friday: 8:00am to
5:00pm Specialty: N/A Cultural Capabilities: Cultural competency
plan is in place and staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: Inland Behavioral & Health
Services (IBHS), Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Ligons Sanaa 1922103654 Osteopathic Medical Board 8792 No
Daniels Mark 1376809020 BBS 9713 No Jackson Kevin 1164845400 CCAPP
Aii050430218 Yes Rios Frank 1689007767 CCAPP A048101117 Yes Newland
Grace 1043400997 CCAPP C050540218 Yes Thedford Lakeisha 1891220745
CCAPP R1207920715 Yes Dixon Varyl 1427560010 CCAPP C050280118 Yes
Dixon-Hudak Debra 1942591110 CCAPP 125308 Yes Chadwick Gina
1568623205 CCAPP C15881214 Yes Marshall Hoyt 1225501729 CDAPT 7907
Yes Snagg Danielle 1588187850 CCAPP R1309690618 Yes Pitts Lori
1356533707 CCAPP R1287520118 Yes Mayo Myiesha 1205374733 CCAPP
R1224000316 Yes
City: San Bernardino
Service Type: Intensive Outpatient Treatment
Address: 1874 Business Center Drive San Bernardino, CA 92408
Level of Care: 2.1
NPI # 1033247812 Website: www.mhsinc.org Phone: (909) 386-0523
Provider Group Affiliation: N/A Fax: (909) 386-0529 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Thursday: 7:00am to 4:00pm, Friday 6:00am to 2:30pm Clinic Hours:
Monday – Thursday: 8:00am to 6:30pm, Friday 6:00am to 2:30pm
Specialty: Court Referrals Cultural Capabilities: Cultural
competency plan is in place and staff are provided Cultural
Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: MHS Probationers Recovering through
Intervention and Drug Education (PRIDE) Program
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Majourau Wayne 1538450341 CCAPP C055210518 Yes Gonzalez
Nancy 1851720791 ACCBC 204289-I Yes Meraz Desmond 1518210632 CCAPP
A044260517 Yes Cardenas Janelly 1679981674 CCAPP A057920820 Yes
Stone Celeste 1538688296 CCAPP R1261380817 Yes Montgomery Victoria
1770795304 ACCBC 061298-II Yes Essex Michael 1952335820 MBC G 85675
Yes
Rodriguez Theresa 1467731661 BBS 110010 Yes City: San
Bernardino
Provider: Inland Valley Recovery Services San Bernardino Recovery
Center
Service Type: Intensive Outpatient Treatment
Address: 939 North D Street San Bernardino, CA 92410
Level of Care: 2.1
NPI # 1073744660 Website: www.inlandvalleyrecovery.org Phone: (909)
889-6519 Provider Group Affiliation: N/A Fax: (909) 889-6560
Accepting New Clients: YES E-Mail: cshaw@ivdars.org ADA
Accommodation: YES Admin Hours: Monday - Friday: 9:00am to 9pm,
Saturday 8:30am to 5:00pm Clinic Hours: Monday - Friday: 9:00am to
9pm, Saturday 8:30am to 5:00pm Specialty: Court Referrals Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: Inland Valley Recovery Services San
Bernardino Recovery Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Munn-Stubblefield Dunuene 1548828569 SUDCC 8076 Yes Vicuna
Dolores 1629590674 APCC 15693 Yes Capacete Rafael 1851706204
CADCII-CA Aii051880218 Yes Atkins Gary 1487838405 LCSW 169641 Yes
Garcia Emmanuel 1124790118 APCC 10432 Yes Booker Bobby 1902276058
CATC I 206111 I Yes Reid Roberta 1710017165 LMFT 43223 Yes
City: Upland
Service Type: Intensive Outpatient Treatment
Address: 934 N. Mountain Ave. Suite A, B, C & D Upland, CA
91786
Level of Care: 2.1
NPI # 1316086739 Website: www.inlandvalleyrecovery.org Phone: (909)
949-4667 Provider Group Affiliation: N/A Fax: (909) 931-3774
Accepting New Clients: YES E-Mail: cshaw@ivdars.org ADA
Accommodation: YES Admin Hours: Monday – Friday: 9:00am to 7:00pm
Clinic Hours: Monday – Tuesday: 9:00am to 9:00pm, Wednesday –
Friday: 9:00am – 10:00pm,
Saturday: 10:30am to 10:00pm Specialty: Gender Responsive, LGBTQ,
Veterans Cultural Capabilities: Cultural competency plan is in
place and staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish curriculum is offered
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Hacker Melissa 1437625969 CCAPP Ci06850217 Yes Walters
Christopher 1801451026 CADTP 9060 Yes Galindo Rachel 1992274526
ACSW 86873 Yes Brown Perlena 1811312168 CADCII-CA Aii059320618 Yes
Sepeda Stephanie 1790215267 CATC 1910119 Yes Arellano Idania
1114576824 AMFT 225069 Yes English Jodon 1861873796 LCSW 82045 Yes
Atkins Gary 1487838405 LCSW 169641 Yes Reid Roberta 1710017165 LMFT
43223 Yes
City: Victorville Provider: High Desert Child, Adolescent
& Family Center Services Center, Inc.
Service Type: Intensive Outpatient Treatment
Address: 16248 Victor Street Victorville, CA 92395
Level of Care: 2.1
NPI # 1528276797 Website: www.highdesertcenterinc.com Phone: (760)
243-7151 Provider Group Affiliation: N/A Fax: (760) 952-1432
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm Specialty: Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish curriculum Populations Served: Adult
(18+), CalWORKs, CFS, AB109 Rendering Provider List: High Desert
Child, Adolescent & Family Center Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Baird Shannon 1063621670 CCAPP Aii11511215 Yes Morales
Cynthia 1194062752 CCAPP A043700217 Yes Allen Danielle 1427505239
CCAPP R1237460816 Yes Gwyn Brandon 1336625094 CCAPP Ci33350621 Yes
Union Julia 1639732779 CCAPP R1329081118 Yes Ortez Ramona
1245797521 CATC 2113825 11 Yes Montana Josephine 1417984782 MBC
C54399 Yes
City: Victorville Provider: St. John of God Hospitality Center
Service Type: Intensive Outpatient Treatment Address: 15534 6th
Street Level of Care: 2.1
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Services provided by
Spanish Speaking Staff, Spanish Curriculum Available Populations
Served: Adult (18+), CalWORKs, CFS, AB109, Medi-Cal, GEO, DOT
Rendering Provider List: St. John of God Hospitality Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Axelrod Dana 1609158419 CCAPP A01940315 Yes Worland Gary
1083953517 CCAPP Aii059550618 Yes Muntzel Anita 1023552445 CCAPP
R124017126 Yes DeLaRosa Marco 1346876869 CCAPP R1390750520 Yes
Combs Jennifer 1396172722 CCAPP A022620316 Yes
City: Yucca Valley
Service Type: Intensive Outpatient Treatment
Address: 58945 Business Center Drive, Suite P, Yucca Valley, CA
92284
Level of Care: 2.1
NPI # 1235577396 Website: www.mhsinc.org Phone: (760) 369-1074
Provider Group Affiliation: N/A Fax: (760) 369-1293 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Friday: 9:00am to 5:00pm Clinic Hours: Monday – Friday: 9:00am to
5:00pm Specialty: Services provided are all inclusive including
gender responsive, LGBTQ, Veterans. Separate
groups are not provided for specialty populations. Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Services provided by
Spanish Speaking Staff, Spanish Curriculum Populations Served:
Young Adults (18-25), Adults (26 and older), CFS, Court, Probation,
and Parole
Referred, CalWORKs, Walk Ins-Self Referred, AB109 Rendering
Provider List: MHS Counseling and Recovery Center for Change
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Devlin Michael 1326607292 CADTP 11359 Yes Jones Tiffany
1952885048 CADTP 12282 Yes
YOUTH INTENSIVE OUTPATIENT TREATMENT PROGRAM
Treatment services, such as individual and group counseling
services provided in an outpatient setting for a minimum of 6 hours
with a maximum of 19 hours per week for youth, based on individual
need.
City: Barstow Provider: Barstow Behavioral Health Center Service
Type: Intensive Outpatient Treatment Address: 1841 E. Main
Street
Barstow, CA 92311 Level of Care: 2.1
NPI # 1033328331 Website: wp.sbcounty.gov/dbh Phone: (760) 255-5700
Provider Group Affiliation: Department of Behavioral
Health Fax: (760) 256-5092 Accepting New Clients: YES E-Mail:
DBH-SUDRSADMIN@dbh.sbcounty.gov ADA Accommodation: YES Admin Hours:
Monday – Friday: 8:00am to 5:00pm Clinic Hours: Monday – Friday:
8:00am to 5:00pm Specialty: Gender Responsive Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Youth (Age 12-17) Rendering
Provider List: Barstow Behavioral Health Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training
Olson Kimberly 1306906755 BBS LMFT41200 Yes Carroll Penny
1780993857 CCAPP A022550316 Yes Hart Eric 1770810897 CCAPP
A07220315 Yes Ortiz Jessica 1700186459 CCAPP ci22420418 Yes Avalos
Jonathan 1386050805 MBC A139612 Yes Sherwood Amber 1639683782 BBS
AMFT96614 Yes
City: Barstow
Provider: High Desert Child, Adolescent and Family Services Center,
Inc.
Service Type: Intensive Outpatient Treatment
Address: 225 Barstow Road Barstow, CA 92311
Level of Care: 2.1
NPI # 1568808509 Website: www.highdesertcenterinc.com Phone: (760)
255-1083 Provider Group Affiliation: N/A Fax: (760) 255-1083
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm
Specialty: Gender Responsive Cultural Capabilities: Cultural
competency plan is in place and staff are provided Cultural
Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish curriculum Populations Served: Youth
(12-17) Rendering Provider List: High Desert Child, Adolescent and
Family Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Montana Josephine 1417984782 MBC C54399 Yes Morales
Cynthia 1194062752 CCAPP AO43700217 Yes Davtyan William 1942898960
CCAPP R1411611220 Yes
City: Needles Provider: MHS Needles Center for Change Service Type:
Intensive Outpatient Treatment Address: 300 H Street
Needles, CA 92363 Level of Care: 2.1
NPI # 1821126889 Website: www.mhsinc.org Phone: (760) 326-4590
Provider Group Affiliation: N/A Fax: (760) 326-3154 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Thursday: 8:00am to 6:00pm (Closed 12:00pm to 1:00pm), Friday:
7:00am to
3:30pm (Closed 12:00pm to 12:30pm) Clinic Hours: Monday – Thursday:
8:00am to 6:00pm (Closed 12:00pm to 1:00pm), Friday: 7:00am
to
3:30pm (Closed 12:00pm to 12:30pm) Specialty: N/A Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Youth (12-17) Rendering
Provider List: MHS Needles Center for Change
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Essex Michael 1952335820 MBC G 85675 Yes Smith Alia
1780906156 BBS 101247 Yes Russell Carl 1427487990 CADTP R6150 Yes
Paget Misty 1336674209 CADTP SUDCC 5981 Yes Olvera Susan 1538834171
CADTP SUDRC11882 Yes Chavez Michelle 1700302700 CADTP SUDCC 6032
Yes
City: Ontario
Ontario, CA 91762 Level of Care: 2.1
NPI # 1992129282 Website: www.clarematrix.org Phone: (909) 395-0888
Provider Group Affiliation: N/A Fax: (909) 395-0899 Accepting New
Clients: YES
E-Mail: bcastillo@clarematrix.com ADA Accommodation: YES Admin
Hours: Monday, Wednesday through Friday: 9:00am – 5:00pm, Tuesday:
9:00am – 5:30pm
Clinic Hours: Monday, Wednesday and Thursday: 9:00am – 9:00pm,
Tuesday: 9:00am – 7:30pm, Friday: 9:00am – 5:00pm
Specialty: Medication Assisted Treatment Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Youth (12-17) Rendering
Provider List: Clare-Matrix
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Nasser Moses 1902023682 DCA/D.O. 20A9301 Yes Cuypers Sean
1841607017 BBS 110865 Yes Denton Kerri-Anne 1710460555 BBS 105284
Yes Garibay (Pimentel) Sandra 1245557503 CCAPP C10951214 Yes
Douglas Patrice 1275911257 BBS 105042 Yes Lopez Denise 1659770261
BBS 108637 Yes Shin Lo Peter 1285047282 BBS 76919 Yes Strand
Theresa 1013434885 BBS 101623 Yes Sosa-Torres Jaqueline 1063904159
CCAPP R1319870818 Yes Vargas Marias 1881177632 BBS 51747 Yes
City: San Bernardino
Service Type: Intensive Outpatient Treatment
Address: 939 North D Street San Bernardino, CA 92410
Level of Care: 2.1
NPI # 1073744660 Website: www.inlandvalleyrecovery.org Phone: (909)
889-6519 Provider Group Affiliation: N/A Fax: (909) 889-6560
Accepting New Clients: YES E-Mail: rcapacete@ivdars.org ADA
Accommodation: YES Admin Hours: Monday – Friday: 9:00am to 7:00pm
Clinic Hours: Monday – Friday: 9:00am to 7:00pm Specialty: Gender
Responsive Cultural Capabilities: Cultural competency plan is in
place and staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Youth (12-17) Rendering
Provider List: Inland Valley Recovery Services San Bernardino
Recovery Center
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Munn-Stubblefield Dunuene 1548828569 SUDCC 8076 Yes Vicuna
Dolores 1629590674 APCC 15693 Yes Capacete Rafael 1851706204
CADCII-CA Aii051880218 Yes Atkins Gary 1487838405 LCSW 169641
Yes
Reid Roberta 1710017165 LMFT 43223 Yes
City: Victorville Provider: High Desert Child, Adolescent
&
Family Services Center, Inc. Service Type: Intensive Outpatient
Treatment
Address: 16248 Victor Street Victorville, CA 92395
Level of Care: 2.1
NPI # 1528276797 Website: www.highdesertcenterinc.com Phone: (760)
243-7151 Provider Group Affiliation: N/A Fax: (760) 243-7151
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm Specialty: Cultural Capabilities:
Cultural competency plan is in place and staff are provided
Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish curriculum Populations Served: Youth
(12-17) Rendering Provider List: High Desert Child, Adolescent
& Family Center Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Baird Shannon 1063621670 CCAPP Aii11511215 Yes Morales
Cynthia 1194062752 CCAPP A043700217 Yes Allen Danielle 1427505239
CCAPP R1237460816 Yes Union Julia 1639732779 CCAPP R1329081118 Yes
Gwyn Brandon 1336625094 CCAPP Ci33350621 Yes Ortez Ramona
1245797521 CATC 2113825 11 Yes Montana Josephine 1417984782 MBC
C54399 Yes
City: Yucca Valley
Service Type: Intensive Outpatient Treatment
Address: 58945 Business Center Drive, Suite P, Yucca Valley, CA
92284
Level of Care: 2.1
NPI # 1235577396 Website: www.mhsinc.org Phone: (760) 369-1074
Provider Group Affiliation: N/A Fax: (760) 369-1293 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Friday: 9:00am to 5:00pm Clinic Hours: Monday – Friday: 9:00am to
5:00pm Specialty: Services provided are all inclusive including
gender responsive, LGBTQ, Veterans. Separate
groups are not provided for specialty populations. Cultural
Capabilities: Cultural competency plan is in place and staff are
provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish Services provided by
Spanish Speaking Staff, Spanish Curriculum Populations Served:
Youth (12-17)
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Jones Tiffany 1952885048 CADTP 12282 Yes Essex Michael
1952335820 MBC G 85675 Yes
Rodriguez Theresa 1467731661 BBS 110010 Yes
PERINATAL TREATMENT PROGRM
Gender specific Intensive Outpatient Treatment services for
pregnant/parenting women and therapeutic interventions for
children. Treatment services may consist of individual and group
counseling services provided in an outpatient setting for a minimum
of 9 hours of treatment per week with a maximum of 19 hours per
week.
City: San Bernardino Provider: Inland Behavioral & Health
Services, Inc. (IBHS) Service Type: Intensive Outpatient
Treatment
Address: 1963 North E Street San Bernardino, CA 92405
Level of Care: 2.1
NPI # 1275734469 Website: ibhealth.org Phone: (909) 881-6146
Provider Group Affiliation: N/A Fax: (909) 881-0111 Accepting New
Clients: YES E-Mail: N/A ADA Accommodation: YES Admin Hours: Monday
– Friday 8:00am to 5:00pm Clinic Hours: Monday – Friday 8:00am to
5:00pm Specialty: Pregnant and Parenting Women, Gender Responsive
Cultural Capabilities: Cultural competency plan is in place and
staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages Populations Served: Adult (18+), CalWORKs, CFS,
AB109 Rendering Provider List: Inland Behavioral & Health
Services (IBHS), Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Underwood Donald 1598861817 Osteopathic Medical Board 4681 No
Ligons Sanaa 1922103654 Osteopathic Medical Board 8792 No
Daniels Mark 1376809020 BBS 9713 No Jackson Kevin 1164845400 CCAPP
Aii050430218 Yes Rios Frank 1689007767 CCAPP A048101117 Yes Newland
Grace 1043400997 CCAPP C050540218 Yes Thedford Lakeisha 1891220745
CCAPP R1207920715 Yes Dixon Varyl 1427560010 CCAPP C050280118 Yes
Dixon-Hudak Debra 1942591110 CCAPP 125308 Yes Chadwick Gina
1568623205 CCAPP C15881214 Yes
City: Victorville Provider: High Desert Child, Adolescent
& Family Center Services Center, Inc.
Service Type: Intensive Outpatient Treatment
Address: 16248 Victor Street Victorville, CA 92395
Level of Care: 2.1
NPI # 1528276797 Website: www.highdesertcenterinc.com Phone: (760)
243-7151 Provider Group Affiliation: N/A Fax: (760) 952-1432
Accepting New Clients: YES E-Mail: N/A ADA Accommodation: YES Admin
Hours: Monday – Thursday: 9:00am to 5:00pm Clinic Hours: Monday –
Thursday: 9:00am to 5:00pm Specialty: Pregnant and Parenting Women,
Gender Responsive Cultural Capabilities: Cultural competency plan
is in place and staff are provided Cultural Competency
training Linguistic Capabilities: Interpretation services available
for all languages, Spanish curriculum Populations Served: Adult
(18+), CalWORKs, CFS, AB109 Rendering Provider List: High Desert
Child, Adolescent & Family Center Services Center, Inc.
Staff Name/NPI Number Certification/Licensure Type/Number
Cultural Competence
Training Baird Shannon 1063621670 CCAPP Aii11511215 Yes Morales
Cynthia 1194062752 CCAPP A043700217 Yes Allen Danielle 1427505239
CCAPP R1237460816 Yes Union Julia 1639732779 CCAPP R1329081118 Yes
Gwyn Brandon 1336625094 CCAPP Ci33350621 Yes Gonzalez Sabrina
1922667120 CCAPP R1350710619 Yes Montana Josephine 1417984782 MBC
C54399 Yes
City: Upland
Service Type: Perinatal Treatment (Intensive Outpatient
Treatment)
Address: 934 N. Mountain Ave. Suite A, B, C & D Upland, CA
91786
Level of Care: 2.1
NPI # 1316086739 Website: www.inlandvalleyrecovery.org Phone: (909)
949-4667 Provider Group Affiliation: N/A Fax: (909) 931-3774
Accepting New Clients: YES E-Mail: cshaw@ivdars.org ADA
Accommodation: YES Admin Hours: Monday – Friday: 9:30am to 5:30pm
Clinic Hours: Monday – Friday: 9:30am to 5:30pm Specialty: Pregnant
and Parenting Women, Gender Respon