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2619 F St Bakersfield CA 93301-1815 | |
| (661) 493-0688 | |
| (661) 493-0699 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2619 F St, Bakersfield, California |
| Authorized Official Name and Position | Damian D Bowden (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6614930688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
401 19th St Bakersfield CA 93301-4907 Ph: (661) 493-0688 | 2619 F St Bakersfield CA 93301-1815 Ph: (661) 493-0688 |
| NPI Number | 1437632635 |
|---|---|
| Provider Enumeration Date | 09/13/2018 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437632635 | NPI | - | NPPES |
| 1992257471 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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