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1331 Cecil Ave # 6 Delano CA 93215-1418 | |
| (661) 725-2788 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1331 Cecil Ave # 6, Delano, California |
| Authorized Official Name and Position | Olga Meave (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6616353050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1559 Bakersfield CA 93302-1559 Ph: (661) 635-3050 | 1331 Cecil Ave # 6 Delano CA 93215-1418 Ph: (661) 725-2788 |
| NPI Number | 1144509415 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144509415 | NPI | - | NPPES |
| 1547 | Medicaid | CA | |
| 15AN | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Primary |
Henrietta Weill Memorial Child Guidance Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Dover Park Way, Delano, CA 93215 Phone: 661-322-1021 | |