| Mono County Behavioral Health | |
|
1290 Tavern Road Mammoth Lakes CA 93546 | |
| (760) 924-1740 | |
| (760) 924-1741 |
| Full Name | Mono County Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1290 Tavern Road, Mammoth Lakes, California |
| Authorized Official Name and Position | Robin K Roberts (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Contact | 7609241729 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mono County Behavioral Health Po Box 2619 Mammoth Lakes CA 93546-2619 Ph: (760) 924-1740 | Mono County Behavioral Health 1290 Tavern Road Mammoth Lakes CA 93546 Ph: (760) 924-1740 |
| NPI Number | 1861050643 |
|---|---|
| Provider Enumeration Date | 06/05/2019 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861050643 | NPI | - | NPPES |
| 2601 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (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: 452 Old Mammoth Rd Suite 304, Mammoth Lakes, CA 93546 Phone: 760-924-1740 |