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101 Hacienda Dr Ste C Calexico CA 92231-1889 | |
| (442) 265-1525 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 101 Hacienda Dr Ste C, Calexico, California |
| Authorized Official Name and Position | Andrea Kuhlen (DIRECTOR) |
| Authorized Official Contact | 7604824112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
202 N 8th St El Centro CA 92243-2302 Ph: () - | 101 Hacienda Dr Ste C Calexico CA 92231-1889 Ph: (442) 265-1525 |
| NPI Number | 1265650279 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 12/09/2019 |
| Certification Date | 12/09/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265650279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |