| Mhsa Fsp-mdft-desert | |
|
44199 Monroe St Indio CA 92201-3096 | |
| (760) 770-2268 | |
| (760) 770-2249 |
| Full Name | Mhsa Fsp-mdft-desert |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 44199 Monroe St, Indio, California |
| Authorized Official Name and Position | Matthew Chang (DIRECTOR RUHS - BEHAVIORAL HEALTH) |
| Authorized Official Contact | 9513584501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mhsa Fsp-mdft-desert Po Box 7549 Riverside CA 92513-7549 Ph: (951) 358-6900 | Mhsa Fsp-mdft-desert 44199 Monroe St Indio CA 92201-3096 Ph: (760) 770-2268 |
| NPI Number | 1467512970 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 09/09/2022 |
| Certification Date | 09/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467512970 | NPI | - | NPPES |
| 33GY | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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