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195 S. 9th St. Brawley CA 92227-9762 | |
| (442) 265-5080 | |
| (760) 351-7701 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 195 S. 9th St., Brawley, California |
| Authorized Official Name and Position | Michael Horn (DIRECTOR) |
| Authorized Official Contact | 4422651605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
195 S. 9th St. Brawley CA 92227-9762 Ph: (442) 265-5080 | 195 S. 9th St. Brawley CA 92227-9762 Ph: (442) 265-5080 |
| NPI Number | 1821455395 |
|---|---|
| Provider Enumeration Date | 01/28/2016 |
| Last Update Date | 01/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821455395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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