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1055 W Henderson Ave Ste 4 Porterville CA 93257-1490 | |
| (559) 636-4000 | |
| (559) 624-1067 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1055 W Henderson Ave Ste 4, Porterville, California |
| Authorized Official Name and Position | Natalie Bolin (MENTAL HEALTH DIRECTOR) |
| Authorized Official Contact | 5596247445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5957 S Mooney Blvd Visalia CA 93277-9394 Ph: (559) 624-7445 | 1055 W Henderson Ave Ste 4 Porterville CA 93257-1490 Ph: (559) 636-4000 |
| NPI Number | 1518418581 |
|---|---|
| Provider Enumeration Date | 10/14/2016 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518418581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 540002IN (California) | Primary |
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