| San Pasqual Family Resource Center | |
|
676 Base Line Rd Winterhaven CA 92283-9705 | |
| (760) 482-4000 | |
| Not Available |
| Full Name | San Pasqual Family Resource Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 676 Base Line Rd, Winterhaven, California |
| Authorized Official Name and Position | Leticia Plancarte-garcia (DIRECTOR) |
| Authorized Official Contact | 4422651604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Pasqual Family Resource Center 202 N 8th St El Centro CA 92243-2302 Ph: () - | San Pasqual Family Resource Center 676 Base Line Rd Winterhaven CA 92283-9705 Ph: (760) 482-4000 |
| NPI Number | 1053530899 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053530899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Ft Yuma Indian Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Picacho Road, Winterhaven, CA 92283 Phone: 760-572-4100 Fax: 760-572-2133 |