| Platinum Behavioral Management | |
|
18003 Flynn Dr Unit 542 Canyon Country CA 91387-4919 | |
| (661) 992-3610 | |
| Not Available |
| Full Name | Platinum Behavioral Management |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 18003 Flynn Dr, Canyon Country, California |
| Authorized Official Name and Position | Kimberly Michelle Benjamin (CO OWNER) |
| Authorized Official Contact | 6619923610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Platinum Behavioral Management 18003 Flynn Dr Unit 542 Canyon Country CA 91387-4919 Ph: (661) 992-3610 | Platinum Behavioral Management 18003 Flynn Dr Unit 542 Canyon Country CA 91387-4919 Ph: (661) 992-3610 |
| NPI Number | 1114300597 |
|---|---|
| Provider Enumeration Date | 07/03/2015 |
| Last Update Date | 07/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114300597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-12-11854 (California) | Primary |
| 252Y00000X | Early Intervention Provider Agency | 1-12-11854 (California) | Secondary |
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