| Comminity Services Organization Brotherhood Center | |
|
1124 Baker St Bakersfield CA 93305-4322 | |
| (661) 327-9376 | |
| (661) 327-7649 |
| Full Name | Comminity Services Organization Brotherhood Center |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1124 Baker St, Bakersfield, California |
| Authorized Official Name and Position | Anthony Gotay (EXCUTIVE DIRECTOR) |
| Authorized Official Contact | 6613279376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comminity Services Organization Brotherhood Center 1124 Baker St Bakersfield CA 93305-4322 Ph: (661) 327-9376 | Comminity Services Organization Brotherhood Center 1124 Baker St Bakersfield CA 93305-4322 Ph: (661) 327-9376 |
| NPI Number | 1851795934 |
|---|---|
| Provider Enumeration Date | 10/17/2014 |
| Last Update Date | 10/31/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851795934 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13854 (California) | Primary |
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