| De Colores Center | |
|
10420 Main St Lamont CA 93241-1727 | |
| (661) 845-3753 | |
| (661) 845-4866 |
| Full Name | De Colores Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10420 Main St, Lamont, California |
| Authorized Official Name and Position | Dwayne Anthony Gotay (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6618453753 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Colores Center Po Box 3067 Bakersfield CA 93385 Ph: (661) 845-3753 | De Colores Center 10420 Main St Lamont CA 93241-1727 Ph: (661) 845-3753 |
| NPI Number | 1053524405 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 10/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053524405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Lamont Adult Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8933 Panama Rd, Ste 101, Lamont, CA 93241 Phone: 661-845-3717 | |
Lamont Childrens Behavioral Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10417 Main St, Lamont, CA 93241 Phone: 661-845-5100 Fax: 661-845-5106 | |
Lamont Sud Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8787 Hall Rd, Modular Unit, Door #2, Lamont, CA 93241 Phone: 661-845-5334 |