| Adolescent Habilitative Learning Program | |
|
1001 W Brighton Avenue Rm 22 El Centro CA 92243-3110 | |
| (442) 265-1940 | |
| Not Available |
| Full Name | Adolescent Habilitative Learning Program |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1001 W Brighton Avenue Rm 22, El Centro, California |
| Authorized Official Name and Position | Hilda Rodriguez (ADMINISTRATIVE ANALYST) |
| Authorized Official Contact | 4422651546 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adolescent Habilitative Learning Program 202 N 8th St El Centro CA 92243-2302 Ph: () - | Adolescent Habilitative Learning Program 1001 W Brighton Avenue Rm 22 El Centro CA 92243-3110 Ph: (442) 265-1940 |
| NPI Number | 1497275291 |
|---|---|
| Provider Enumeration Date | 06/22/2017 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497275291 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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