| Icbhs | |
|
1295 W State St Ste. 102 El Centro CA 92243-2845 | |
| (760) 353-0763 | |
| Not Available |
| Full Name | Icbhs |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 1295 W State St, El Centro, California |
| Authorized Official Name and Position | Gary Garrison (SUBSTANCE AUBSE COUNSELOR II) |
| Authorized Official Contact | 7603530763 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icbhs 1295 W State St Ste. 102 El Centro CA 92243-2845 Ph: () - | Icbhs 1295 W State St Ste. 102 El Centro CA 92243-2845 Ph: (760) 353-0763 |
| NPI Number | 1619094984 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619094984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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