| Imperial County Communty Mental Health Center | |
|
708 E 5th St Holtville CA 92250-1514 | |
| (626) 991-7383 | |
| Not Available |
| Full Name | Imperial County Communty Mental Health Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 708 E 5th St, Holtville, California |
| Authorized Official Name and Position | Epifania V Nicolas (PRESIDENT) |
| Authorized Official Contact | 7149069116 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imperial County Communty Mental Health Center 3218 E Holt Ave Ste 200 West Covina CA 91791-2310 Ph: (626) 991-7383 | Imperial County Communty Mental Health Center 708 E 5th St Holtville CA 92250-1514 Ph: (626) 991-7383 |
| NPI Number | 1922642479 |
|---|---|
| Provider Enumeration Date | 10/28/2019 |
| Last Update Date | 10/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922642479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Raizes Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1505 Mets Rd, Holtville, CA 92250 Phone: 760-554-2204 |