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1215 Jefferson St Delano CA 93215-2203 | |
| (661) 302-1463 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1215 Jefferson St, Delano, California |
| Authorized Official Name and Position | Rosanda Jenay Anderson (DEVELOPMENT DIRECTOR) |
| Authorized Official Contact | 6613021463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3218 Laurel Dr Bakersfield CA 93304-6029 Ph: (661) 302-1463 | 1215 Jefferson St Delano CA 93215-2203 Ph: (661) 302-1463 |
| NPI Number | 1538482625 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538482625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Henrietta Weill Memorial Child Guidance Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 375 Dover Park Way, Delano, CA 93215 Phone: 661-322-1021 | |