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1055 W Henderson Ave Porterville CA 93257-1490 | |
| (559) 788-1200 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1055 W Henderson Ave, Porterville, California |
| Authorized Official Name and Position | Natalie Bolin (DIRECTOR OF MENTAL HEALTH) |
| 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 Porterville CA 93257-1490 Ph: (559) 788-1200 |
| NPI Number | 1265075659 |
|---|---|
| Provider Enumeration Date | 10/18/2019 |
| Last Update Date | 07/01/2024 |
| Certification Date | 07/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265075659 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Ramu Thiagarajan Md Professional Corporation Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 382 North Pearson Dr., Porterville, CA 93257 Phone: 559-783-0100 Fax: 559-783-0200 | |
Kings View Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 S C St, Porterville, CA 93257 Phone: 559-521-0619 | |
Family Builders Foster Care, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 N 3rd St, Suite 125, Porterville, CA 93257 Phone: 559-789-9679 Fax: 559-789-0161 |