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301 E 13th St Ste D Merced CA 95341-6211 | |
| (559) 600-2382 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 301 E 13th St Ste D, Merced, California |
| Authorized Official Name and Position | Kent Dunlap (PRESIDENT AND CHIEF EXECUTIVE OFFIC) |
| Authorized Official Contact | 3102216336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1501 Hughes Way Ste 150 Long Beach CA 90810-1878 Ph: (310) 221-6336 | 301 E 13th St Ste D Merced CA 95341-6211 Ph: (559) 600-2382 |
| NPI Number | 1629574777 |
|---|---|
| Provider Enumeration Date | 04/05/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629574777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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