| Coachella Valley Treatment Center | |
|
81709 Dr Carreon Blvd Indio CA 92201-5509 | |
| (760) 347-0000 | |
| Not Available |
| Full Name | Coachella Valley Treatment Center |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 81709 Dr Carreon Blvd, Indio, California |
| Authorized Official Name and Position | Dimple Agrawal. (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7603470000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coachella Valley Treatment Center 81709 Dr Carreon Blvd Indio CA 92201-5509 Ph: (760) 347-0000 | Coachella Valley Treatment Center 81709 Dr Carreon Blvd Indio CA 92201-5509 Ph: (760) 347-0000 |
| NPI Number | 1770294159 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770294159 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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