| Integrated Services For Mentally Ill Parolee | |
|
1120 Union Ave Bakersfield CA 93307-1051 | |
| (661) 861-6141 | |
| (661) 861-6165 |
| Full Name | Integrated Services For Mentally Ill Parolee |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1120 Union Ave, Bakersfield, California |
| Authorized Official Name and Position | Raymond Ralph Banks (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5597328086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Services For Mentally Ill Parolee 1120 Union Ave Bakersfield CA 93307-1051 Ph: (661) 861-6141 | Integrated Services For Mentally Ill Parolee 1120 Union Ave Bakersfield CA 93307-1051 Ph: (661) 861-6141 |
| NPI Number | 1912111311 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 04/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912111311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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