| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 | |
Daniel Ranson, Lcsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 272 Sierra Manor, Suite B1, Mammoth Lakes, CA 93546 Phone: 760-586-7746 | |
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 |