| |
72710 E Lynn St Thousand Palms CA 92276-3312 | |
(760) 343-3211 | |
(951) 351-4265 |
Full Name | |
---|---|
Speciality | Community/behavioral Health |
Location | 72710 E Lynn St, Thousand Palms, California |
Authorized Official Name and Position | Kathy Mcadara (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9513514418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
9685 Hayes St Riverside CA 92503-3660 Ph: (951) 351-4418 | 72710 E Lynn St Thousand Palms CA 92276-3312 Ph: (760) 343-3211 |
NPI Number | 1093010191 |
---|---|
Provider Enumeration Date | 01/20/2011 |
Last Update Date | 01/20/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093010191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |