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1141 Chelsea Street Ridgecrest CA 93555 | |
| (760) 463-2880 | |
| (760) 446-0298 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1141 Chelsea Street, Ridgecrest, California |
| Authorized Official Name and Position | Lorena Lopez (PROVIDER RELATIONS SUPERVISOR) |
| Authorized Official Contact | 5103377950 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1080 Marina Village Parkway Suite 100 Alameda CA 94501-1078 Ph: (510) 337-7950 | 1141 Chelsea Street Ridgecrest CA 93555 Ph: (760) 463-2880 |
| NPI Number | 1700319407 |
|---|---|
| Provider Enumeration Date | 04/10/2017 |
| Last Update Date | 03/08/2023 |
| Certification Date | 03/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700319407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
College Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N Norma St Ste 127-133, Ridgecrest, CA 93555 Phone: 651-505-5614 | |
Comprehensive Unique Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 W Ward Ave Apt B, Ridgecrest, CA 93555 Phone: 818-445-7856 | |
Genesis Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1201 N China Lake Blvd, Ridgecrest, CA 93555 Phone: 760-375-6348 | |
Empower Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 S Gemstone St Ste E, Ridgecrest, CA 93555 Phone: 702-246-2315 | |