| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1100 4th St, Taft, 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 | 1100 4th St Taft CA 93268-2415 Ph: (661) 302-1463 |
| NPI Number | 1083937171 |
|---|---|
| Provider Enumeration Date | 03/04/2010 |
| Last Update Date | 03/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083937171 | 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 |
College Community Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 4th St, Taft, CA 93268 Phone: 661-765-7025 | |
County Of Kern Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 4th St, Suite B, Taft, CA 93268 Phone: 661-763-8660 Fax: 661-765-6981 |