| Raizes | |
|
1505 Mets Rd Holtville CA 92250-9624 | |
| (760) 554-2204 | |
| Not Available |
| Full Name | Raizes |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1505 Mets Rd, Holtville, California |
| Authorized Official Name and Position | Vivian Perez (PRESIDENT) |
| Authorized Official Contact | 7605542204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Raizes 1505 Mets Rd Holtville CA 92250-9624 Ph: (760) 554-2204 | Raizes 1505 Mets Rd Holtville CA 92250-9624 Ph: (760) 554-2204 |
| NPI Number | 1568295533 |
|---|---|
| Provider Enumeration Date | 08/23/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568295533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Imperial County Communty Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 708 E 5th St, Holtville, CA 92250 Phone: 626-991-7383 |