Mono County Behavioral Health | |
452 Old Mammoth Rd Suite 304 Mammoth Lakes CA 93546-2619 | |
(760) 924-1740 | |
Not Available |
Full Name | Mono County Behavioral Health |
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Speciality | Counselor |
Location | 452 Old Mammoth Rd Suite 304, Mammoth Lakes, California |
Authorized Official Name and Position | Robin Roberts (BEHAVIORAL HEALTH DIRECTOR) |
Authorized Official Contact | 7609241740 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mono County Behavioral Health 452 Old Mammoth Road 304 Mammoth Lakes CA 93546-2619 Ph: (760) 924-1740 | Mono County Behavioral Health 452 Old Mammoth Rd Suite 304 Mammoth Lakes CA 93546-2619 Ph: (760) 924-1740 |
NPI Number | 1730433863 |
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Provider Enumeration Date | 10/26/2012 |
Last Update Date | 11/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730433863 | NPI | - | NPPES |
2601 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Mono County Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1290 Tavern Road, Mammoth Lakes, CA 93546 Phone: 760-924-1740 Fax: 760-924-1741 | |
Mono County Behavioral Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1290 Tavern Road, Mammoth Lakes, CA 93546 Phone: 760-924-1740 Fax: 760-924-1741 |