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140 Drummond Ave Ridgecrest CA 93555-3118 | |
| (661) 868-6601 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 140 Drummond Ave, Ridgecrest, California |
| Authorized Official Name and Position | William P Walker (DIRECTOR) |
| Authorized Official Contact | 6618686601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1000 Bakersfield CA 93302-1000 Ph: (661) 868-6601 | 140 Drummond Ave Ridgecrest CA 93555-3118 Ph: (661) 868-6601 |
| NPI Number | 1285168518 |
|---|---|
| Provider Enumeration Date | 04/13/2017 |
| Last Update Date | 04/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285168518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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